Physiotutors Podcast
The Physiotutors podcast is your opportunity to hear from some of the best physio's, researchers, lecturers and medical professionals for all things physiotherapy related. Join us as we discuss topics from orthopedics to pain management, from spinal cord to respiratory all in the name of physiotherapy.
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Ep. 063 | From Irritation to Recovery: A Complete Guide to Conquering Shin Splints (MTSS) | Tom Goom
04/06/2024
Ep. 063 | From Irritation to Recovery: A Complete Guide to Conquering Shin Splints (MTSS) | Tom Goom
In this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program. It's a value-packed episode so tune in to master your approach to treating shin splints. This episode is sponsored by Lindy.ai - your A.I. medical scribe. Try Lindy for free by going to and receive 1 week of unlimited patient notes. Content 00:00 Intro 01:06 What is MTSS? 02:19 Risk Factors 03:34 Typical Patient 04:20 Specific Training Errors 05:40 Influence of Footwear 06:58 Forefoot Running 08:40 Red Flag Diagnoses 12:08 MTSS DIagnosis 13:06 Assessing the Patient 15:45 Muscle Testing 17:18 Sponsored Segment 18:55 Other Strength Parameters 21:05 Running Analysis/Technique 26:15 Treatment 29:29 Strengthening Exercises 31:58 What about Tibialis Anterior? 33:12 How to manage a flare-up? 35:25 Return to running 38:02 Different Mx for Different Sports 40:20 Duration of MTSS 41:35 Adjunct Treatments 43:30 Can MTSS become a Fracture? 44:25 Tom's closing remarks 46:25 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: |
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Ep. 062 | Poking into Pain: A Deep Dive into Dry Needling | Barbara Cagnie
03/02/2024
Ep. 062 | Poking into Pain: A Deep Dive into Dry Needling | Barbara Cagnie
In this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation. The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications. The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques. Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care. Chapters 00:00 Intro 00:46 Defining Dry Needling 01:49 The Physiology 07:26 Difficulty of human studies 08:15 Active vs. Latent Trigger Points 10:05 Reliability Issues of TP Therapy 12:00 Referred pain in Trigger Points 15:40 The local twitch response 17:50 In-situ vs. winding technique 18:36 Research vs. Clinical Practice 20:22 Dry Needling for Tendinopathy? 23:58 Evidence for MSK Complaints 28:01 Contraindications and Risks 30:45 Needles vs. Hands 32:16 Kai's Dry Needling Anecdote 33:06 Are we chasing short-term effects? 35:26 Top 3 Reasons to learn Dry Needling 40:01 Closing thoughts 41:06 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: |
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Ep. 061 | Jaw-dropping Insights: Tackling TMJ Dysfunction | Corinne Visscher
02/03/2024
Ep. 061 | Jaw-dropping Insights: Tackling TMJ Dysfunction | Corinne Visscher
In this episode, Dutch researcher Corinne Visscher discusses temporomandibular disorders (TMD) with a focus on prevalence, risk factors, diagnosis, and treatment. She provides insights on the research she is currently focused on, particularly in understanding the journey of patients with chronic complaints related to TMD. Corinne also emphasizes the importance of screening for TMD, providing counseling and advice on habits, and referring patients to oral facial physical therapists or dentists when necessary. She also highlights the link between TMD and secondary headaches, and offers ways to reach out to her for further information. Content 00:00 Intro 00:35 What is TMD? 01:18 TMD Prevalence/Incidence 02:20 The typical TMD Patient 03:23 Risk Factors 06:38 Red Flag Screening 09:20 The Diagnostic Process 14:05 Special Tests 15:25 Questionnaires 17:47 TMD & Headaches 19:30 Am I clenching my teeth? 20:40 Is posture a factor for TMD? 22:50 The course of TMD 27:09 A place for Dry Needling? 28:29 Other Manual Therapies? 31:50 Current TMD Research 35:05 Top 3 Takeaways 40:20 Tension-Type or TMD Headache 42:28 How to get in touch 43:08 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 060 | Pain and Disability Drivers Management (PDDM) Model | Yannick Tousignant-Laflamme
01/06/2024
Ep. 060 | Pain and Disability Drivers Management (PDDM) Model | Yannick Tousignant-Laflamme
In this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals. By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors. Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration. Guest Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain. Content 00:00 Intro 00:40 What is the PDDM? 03:19 The 5 Drivers of Pain & Disability 07:56 The struggle with interdisciplinary care 11:15 Lifestyle within the PDDM 13:28 Why is PDDM more than a classification system? 17:23 Patient History within the PDDM 30:57 Why so many PROMs? 32:45 NSLBP - is it a helpful diagnosis? 39:37 Can Physiotherapists cover all 5 domains? 43:18 Is it all talking? 45:42 What has changed since 2017 49:28 How can we apply the PDDM? 3 Tips 51:26 Yannicks closing thoughts 53:15 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 059 | The Shoulder Blade Shuffle: Separating Fact from Fiction in Scapula Dyskinesia | Filip Struyf
12/02/2023
Ep. 059 | The Shoulder Blade Shuffle: Separating Fact from Fiction in Scapula Dyskinesia | Filip Struyf
In this podcast, we explore scapular dyskinesis, the abnormal movement of the shoulder blade. We discuss related terms like scapular misalignment and sick scapula, questioning the practicality of assessing it through visual observation. We highlight that identifying it as normal or abnormal may not guide treatment decisions or pinpoint the cause of shoulder pain. We also address its prevalence in athletes and non-athletes and suggest using various tests to assess scapular dyskinesis. Intriguingly, we'll reveal a surprising connection between scapular dyskinesis and an unexpected aspect of training, which might change the way you think about shoulder issues. So, join us for the full episode to uncover this fascinating insight. Guest Filip Struyf is a sportsphysiotherapist and professor at the Department of Rehabilitation Sciences and Physiotherapy at the University of Antwerp, Belgium. According to Expertscape, he is the #1 shoulder researcher world-wide. He teaches shoulder courses nationally and internationally and has created an online course together with us called “Rotator Cuff Related Shoulder Pain: Separating Facts from Fiction”. Content 00:00 Intro 01:15 The "correct" definition 04:05 What is "normal" 12:05 Prevalence 14:21 Is it a functional adaptation? 16:46 Scapula Dyskinesia as a risk factor? 26:09 How do we assess it? 28:51 How reliable or valid is assessment? 32:39 Can we improve scapula movement? 39:09 What's up with focussing on the lower trapezius? 42:26 What about Rhomboid Pain? 46:21 Is there a place for scapula mobilization techniques? 49:42 Filip's closing thoughts 52:15 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 058 | Beyond the Clinic: Harnessing Lifestyle for Physiotherapy Success | Jaap Wonders
11/04/2023
Ep. 058 | Beyond the Clinic: Harnessing Lifestyle for Physiotherapy Success | Jaap Wonders
In this podcast episode, sports physiotherapist and lifestyle expert Jaap Wonders discusses the several aspects of successful lifestyle interventions as part of the treatment plans in physiotherapy practice. He outlines the guidelines on proper sleep hygiene, diet and other important factors to take into account when prescribing a healthy lifestyle. We discuss the challenges of adopting healthy habits and what we can do about this. Content00:00 intro 00:45 Why the interest in Lifestyle? 02:50 How to deal with unhealthy lifestyles 05:52 Failing to meet movement goals 10:43 Movement snacks 12:28 10K Steps a Day. What's the deal? 17:55 Recommendations on Nutrition 20:55 Healthy vs unhealthy Protein 24:55 The importance of sleep 31:16 How we address stress 36:09 Positive Stress 38:15 Mindfullness 39:05 Cold Showers 42:10 What doesn't kill you makes you stronger? 47:22 Lifestyle interventions in chronic conditions 58:00 3 steps to a healthier lifestyle 01:03:20 Closing thoughts 01:05:08 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 057 | Ring of Truth: Exploring Physiotherapy's Role in Tinnitus Treatment | Sarah Michiels
10/07/2023
Ep. 057 | Ring of Truth: Exploring Physiotherapy's Role in Tinnitus Treatment | Sarah Michiels
In this podcast episode, physiotherapist Sarah Michiels discusses somatic tinnitus, a type of tinnitus that is often caused by dysfunctions in the upper cervical spine and jaw. She highlights the prevalence of somatic tinnitus and the importance of a comprehensive diagnosis to rule out other causes. The talk provides insights into her evaluation and treatment approach, emphasizes the role of physiotherapy in improving muscle function and coordination to manage this debilitating condition. Content 00:00 Intro 00:46 Definition of Somatic Tinnitus 01:35 Tinnitus and the Cervical Spine 04:47 Prevalence of Tinnitus 06:22 Epidemiology of Tinnitus 08:15 Physiotherapy Diagnosis Possible? 10:30 ENT Diagnosis of Somatosensory Tinnitus 14:27 Special Testing for Tinnitus 16:00 Cervical Spine Assessments 17:35 Tinnitus and the Jaw 18:51 Red Flags 20:53 Physiotherapy Effectiveness for Somatosensory Tinnitus 22:00 Typical Treatment Course 23:20 What causes Improvements in Symptoms? 25:18 Tinnitus Relapse 27:10 Prognostic Factors 29:30 Sarah's Treatment Approach 31:48 Why Patients get worse 34:15 How to learn more about Tinnitus 35:10 Is MT knowledge required? 36:20 Sarah's Closing Thoughts 37:30 Could Van Gogh have been saved? 38:10 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 056 | Mobilisation with Movement (MWM) | Thomas Mitchell
09/02/2023
Ep. 056 | Mobilisation with Movement (MWM) | Thomas Mitchell
Welcome to Physiotutors podcast episode 56 with Thomas Mitchell. Thomas is a wrist and hand specialist physiotherapist, and working toward his PhD at Sheffield Hallam. He is a physiotherapist of 25 years standing in primary care, private practice and sports. He is a First-contact Practitioner clinical supervisor and member of the British Association of Hand Therapists. He is also a Member of the Mulligan Concept Teachers Association, so the perfect person to talk to about the Mobilizations with Movement abbreviated as MWM. He is also an instructor for our online courses and has developed together with Andrew Cuff. Content 00:00 Introduction 00:48 Definition of mobilizations with movement 02:42 Discussion on Mulligan's positional fault concept 04:14 Importance of symptom modification 06:39 Principles of mobilizations with movement 08:20 The concept of "Pill" in mobilizations with movement 10:36 The "Crocks" principle in mobilizations with movement 12:17 Empowering patients through functional positions 13:41 Personal adjustments in practice based on Mulligan's concept 15:33 Importance of Self-Treatment and Patient Expectations 17:03 Discussion on Plausible Fallacies and Patient Beliefs 18:40 Understanding Mulligan Concept and Pragmatic Approach 19:24 Explaining Treatment to Patients 20:40 Thomas Online Course 21:18 Differentiating MWM from Other Manual Therapy Techniques 23:16 Patient Control and Bottom-Up Approach in MWM 27:51 Evidence and Systematic Reviews on MWM 33:23 Importance of self-treatment and clinical expertise 35:57 Application of MWMS in chronic pain patients 37:40 Challenges with musculoskeletal rehab in the UK 40:13 Effectiveness of MWMS for lateral epicondylalgia and De Quervain's disease 44:34 Benefits of mobilizations with movement 47:36 Learning resources for Mulligan concept and MWMs 49:17 Thomas closing thoughts 51:08 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 055 | Cervicogenic Dizziness | Julia Treleaven
08/05/2023
Ep. 055 | Cervicogenic Dizziness | Julia Treleaven
This episode of the Physiotutors podcast features Julia Treleaven, a researcher and physiotherapist, who discusses cervicogenic dizziness and its diagnosis. We delve into the condition's pathophysiology and prevalence in patients with chronic neck pain. We also discuss red flags to watch for during patient history taking and differentiating cervicogenic dizziness from other forms of dizziness. The episode covers functional tests used to assess balance and motor control and treatment options, including sensory-motor exercises, manual therapy, and posture correction. The discussion emphasizes the importance of focusing on the neck's role in such cases rather than just diagnosing the condition. Content 00:00 Introduction 01:20 Definition 06:36 Characteristics of Cervicogenic Dizziness 12:08 Physical and Orthopedic Tests for Cervicogenic Dizziness 15:03 Functional Assessment for Cervicogenic Dizziness 18:25 Treatment for Cervicogenic Dizziness 26:10 Progressing Sensory Motor Control Exercises for Cervicogenic Dizziness 29:46 Role of the neck in dizziness 32:08 Research endeavors in neck-related dizziness 34:58 Determining the role of the neck in dizziness and the controversy of cervicogenic dizziness Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 054 | Prevention forecast: cloudy with a chance of injury | Nicol van Dyk
07/01/2023
Ep. 054 | Prevention forecast: cloudy with a chance of injury | Nicol van Dyk
Nicol van Dyk is a physiotherapist and clinical researcher currently occupying the role of Injury Surveillance and Medical Research Officer with the Irish Rugby Football Union in Dublin, Ireland. In 2018 Nicol completed his PhD in Health Sciences at Ghent University, Belgium titled “Risk factors for hamstring injuries in professional football players.” During this time Nicol was a physiotherapist at the Aspetar Orthopaedic and Sports Medicine Hospital. In this episode we are joined by Nicol van Dyk. We discuss injury prediction and screening tests, individual risk factors for athletes at risk of injury, the importance of clinical reasoning and individualized approaches as well as why it rains so much in the Netherlands.... This was a great episode to record and we hope you enjoy it. Content 00:00:00 Introduction 00:01:00 Screening tests and injury prediction 00:05:10 Importance of screening tests in injury prevention and building athlete trust 00:13:14 Importance of Previous Injuries 00:17:47 Role of Technology and Social Support in Rehab 00:21:35 The Significance of Sleep in Injury Prevention 00:26:41 Understanding individual athlete risk factors 00:30:10 Importance of clinical reasoning and individualized treatment 00:38:08 Using mixed methods approach for injury prediction 00:41:09 Injury prediction vs risk estimation 00:44:32 Focus on performance and robustness 00:46:24 Importance of communication and empathy in physiotherapy Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 053 | Lumbar Radicular Syndrome | Adam Dobson
06/03/2023
Ep. 053 | Lumbar Radicular Syndrome | Adam Dobson
Welcome to episode 53! In this episode we are joined by Adam Dobson who is working as a specialist triage & treat spinal physiotherapist for South Tees Hospitals NHS Foundation Trust. He is the author of "Lumbar Radicular Syndromes - At a Glance" and actively shares his knowledge around radicular syndromes on his Twitter () and as guest on various podcasts. We are very happy to have him on the microphone for this episode. Enjoy! Content 00:00 Intro 00:40 Definition of Lumbar Radicular Syndrome 02:57 Signs & Symptoms of Sciatica 06:12 Red Flags 14:14 Cauda Equina Pathway 19:20 Facet Joint Stenosis Differentiation 21:54 K.I.S.S. 22:30 Motor Control Exercises 24:45 Opinion on Piriformis Syndrome 30:20 Minor Neurogenic Dysfunctions 35:17 Treatment for LRS 38:55 Advice. Anything Else? 44:16 Clinical Decisionmaking 45:52 Adam's closing thoughts 50:47 Encore - Stenosis 53:05 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 052 | To Image or not to Image | Andrew Cuff
05/06/2023
Ep. 052 | To Image or not to Image | Andrew Cuff
Andrew is a consultant physiotherapist from the UK with a special interest in the upper limb and particularly the shoulder, which is also the reason he has created a course on the stiff shoulder, the elbow and wrist for Physiotutors together with Thomas Mitchell. He is in the process of finishing his PhD this year on imaging for musculoskeletal conditions in primary care at Keele University, so he’s the perfect person to talk to about imaging! Content 00:00 Intro 01:25 How far are we from ideal? 05:56 Scale of MSK Imaging 09:40 Why don't we stick to guidelines? 15:50 When imaging makes sense 21:35 Do Patients Expect Imaging? 23:49 Sponsor 24:59 The goal of Imaging 27:52 Risks of Imaging 30:27 Imaging Techniques 101 35:10 Should Physios use Ultrasound 37:56 Scan interpretation as a skill? 43:10 How to explain imaging findings 48:15 Andrew's closing thoughts 49:49 Outro Sponsor This episode is sponsored by the CSP student conference 2023. For more information and to sign up visit: Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 051 | Plantar Heel Pain | Henrik RIel
04/01/2023
Ep. 051 | Plantar Heel Pain | Henrik RIel
Hi and welcome to Physiotutors podcast episode 51 with Henrik Riel. Henrik is a physiotherapist from Denmark and has obtained his PhD in the management of plantar heel pain. He is doing a post-doc fellowship at the university of Aalborg and he is an assistant professor at the physio department of the university of northern Denmark. In this episode we will talk about plantar heel pain etiology, the risk factors associated with it, Henrik's approach to examination, imaging, and treatment. We will answer the question if there are prognostic factors for the condition, what mode of strength training is recommended and discuss the efficacy of adjunct treatment modalities for plantar fasciopathy. So make sure to listen to the entire episode. Content 00:00 Intro 00:45 Plantar fasciitis, Plantar Fasciotpathy or Plantar heel pain? 02:41 Is it a tendinopathy? 03:33 The typical patient 04:40 Risk factors 07:13 Signs & Symptoms 09:05 Differential Diagnoses 10:10 Examination/Imaging & Testing 13:00 What about Heel spurs? 14:10 Prognosis 19:28 Isometrics for Plantar Heel Pain 22:04 Treatment Options 26:35 Load Management 28:15 Plyometrics/SSC Exercises 30:54 Henrik's Closing Thoughts 32:00 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 050 | The Unstable Shoulder | Anju Jaggi
03/03/2023
Ep. 050 | The Unstable Shoulder | Anju Jaggi
In this episode we will talk about all things shoulder instability. You will learn more about the Stanmore classification and structural damage after dislocations. We will discuss the typical patient with shoulder instability and how an examination process looks like. We will touch on muscle activation patterns, surgery and how physiotherapeutic management of a patient with shoulder instability could possibly look like. So make sure to listen to the whole episode! Our guest is Anju Jaggi. She is a physio consultant shoulder specialist at the royal national orthopedic hospital in stanmore, UK. She’s a past president of the European Society of Shoulder & Elbow Rehabilitation (EUSSER) and a published researcher with a particular interest in shoulder instability. Content 0:00:00 - 0:01:08 Introduction 0:01:08 - 0:02:32 What is Shoulder Instability? 0:02:32 - 0:05:50 What causes the shoulder pain? 0:05:50 - 0:13:44 TUBS/AMBRI/Neuromuscular 0:13:45 - 0:18:13 What gets damaged in the shoulder? 0:18:13 - 0:22:22 The typical patient fenotype 0:22:22 - 0:28:55 Examination Process 0:28:55 - 0:30:05 Special testing 0:30:55 - 0:34:29 How to test the cuff 0:34:29 - 0:37:16 When is the cuff weak? 0:37:16 - 0:40:05 Muscle activation patterns 0:40:05 - 0:43:30 Risk factors 0:43:30 - 0:46:14 Risk of Developing OA 0:46:14 - 0:47:58 Relocating a shoulder as physio 0:47:58 - 0:55:02 Shoulder Instability Rehab 0:55:02 - 1:00:21 Surgery vs. Physio 1:00:21 - 1:01:38 Anju's closing thoughts 1:01:38 - 1:03:10 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 049 | Femoroacetabular Impingement (FAI) | Mike Reiman
02/04/2023
Ep. 049 | Femoroacetabular Impingement (FAI) | Mike Reiman
Welcome to episode 49! Today's guest is Mike Reiman who is a physiotherapist, active clinical researcher, educator and mentor with a special interest in the hip. He is also an associate professor at Duke University and an adjunct professor at Wichita State University. In this episode we will talk about femoroacetabular impingement abbreviated as FAI. You will learn more about FAI morphology and the development of FAI. Mike will elaborate on the epidemiolgy of FAI, what can trigger symptoms and the prognosis in regards to the development of hip osteoarthritis. Of course we will talk about diagnosis and physiotherapeutic treatment and finish of with a discussion about surgery for FAI.So make sure to listen to the whole episode! Enjoy! Content 0:00:00 - 0:01:04 Introduction 0:01:00 - 0:02:50 What is FAI? 0:02:50 - 0:04:35 How FAI develops 0:04:35 - 0:08:10 Epidemiology of FAI 0:08:10 - 0:09:52 Asymptomatic FAI 0:09:52 - 0:13:13 Triggers for symptomatic FAI 0:13:13 - 0:18:13 Prognosis: Do patients develop hip OA? 0:18:13 - 0:21:34 Screening 0:21:34 - 0:25:35 History & Examination 0:25:35 - 0:28:13 Confirming the Diagnosis 0:28:13 - 0:29:45 Imaging necessary? 0:29:45 - 0:31:54 Muscle Strength Testing 0:31:54 - 0:45:10 FAI Rehab Start to Finish 0:45:10 - 0:48:45 How good is Physio for FAI? 0:48:45 - 0:53:40 How good is Surgery for FAI? 0:53:40 - 0:58:30 How to choose: Surgery or FAI 0:58:30 - 0:59:50 Mike's Closing Thoughts 0:59:50 - 1:00:29 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 048 | Joint Efforts: Navigating Rheumatism | Jack March
01/14/2023
Ep. 048 | Joint Efforts: Navigating Rheumatism | Jack March
In this episode we will talk about different rheumatological conditions that can mask as musculoskeletal pain and how to recognize them. Our guest is Jack March, a physiotherapist specialising in rheumatology who provides CPD courses on the recognition, investigation and management of rheumatological conditions. We will shine a light on imaging and medical tests for different conditions and cover differences between genders. At last, we will discuss how patients with rheumatism are best treated, talk about precautions during exercise and how to positively influence their prognosis. So make sure to listen to the whole episode! Enjoy! Content 00:00 - 00:58 Introduction 00:58 - 02:18 What is Rheumatism? 02:18 - 03:47 Rheumatological diseases to know 03:47 - 05:28 When to think it's Rheumatic 05:28 - 08:16 Screening for Rheumatoid Disorders 08:16 - 11:46 How Rheumatoid Inflammation is different 11:46 - 15:32 What are the Signs & Symptoms 15:32 - 17:04 How helpful is Imaging? 17:04 - 18:55 Difference in males vs. females 18:55 - 22:10 Testing for Rheumatoid Disorders 22:10 - 27:11 Referral to Specialist Management 27:11 - 35:45 What Physios can do in RD 35:45 - 37:55 Jack's Closing Thoughts 37:55 - 38:54 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Follow our Podcast on: |
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Ep. 047 | Demonization of Manual Therapy | Chad Cook
12/10/2022
Ep. 047 | Demonization of Manual Therapy | Chad Cook
In this episode we will talk about the demonization of and the future of manual therapy with Chad Cook. Chad is physiotherapist, a professor at Duke University and a clinical researcher who has published over 330 peer-reviewed papers. One of the latest papers he has published is called “The Demonization of manual therapy” where he evaluated common critique on manual therapy based on the current literature. News: We do have an announcement to make: You might be wondering why you’re listening to a podcast host with a German accent. Our former podcast host Sunny Sandhu has left us to work in the clinic again full-time after hosting our podcast for 46 episodes. We wish him all the best and his British accent will be dearly missed. To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. Content: 00:00:00 - 00:01:46 : Introduction 00:01:46 - 00:02:48 : Chad's definition of MT 00:02:53 - 00:04:54 : The Pendulum has swung too far 00:04:55 - 00:07:20 : How is MT different from other modalities? 00:07:25 - 00:09:04 : Does hypomobility assessment still have a place? 00:09:05 - 00:10:26 : Do we need to be specific with MT? 00:10:28 - 00:13:44 : How to know when to use MT in a patient 00:13:48 - 00:16:37 : Is the cost of current MT education justified? 00:16:40 - 00:21:31 : Time to embrace the placebo effect? 00:21:34 - 00:24:42 : The biggest critique on MT 00:24:44 - 00:26:11 : Are we sending the wrong message to patients? 00:26:14 - 00:32:10 : The value of Costs vs. Patient Satisfaction 00:32:16 - 00:36:05 : How MT education needs to change 00:36:06 - 00:39:24 : The future of MT 00:39:25 - 00:40:34 : Outro Follow our Podcast on: |
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Ep. 046 | Understanding & Reading Research | James Malone
11/05/2022
Ep. 046 | Understanding & Reading Research | James Malone
Research and evidence based practise are the cornerstone of the modern clinician - ensuring that we use the best, up to date methods to support our clients and patients. With that said however, there's so much out there, how can you be sure what you're reading is worthwhile, is relevant or of any half decent quality. We have to understand the limitations of the research we're reading to understand the implications and potential application of that research too. It's unfortunate, but when working with people - whatever your discipline - there's no one size fits all approach and there's always nuance. With that said, myself and James spoke about why we need to dig further than *just* the abstract before we make up our minds on a research paper, to fully gage whether it is of clinical or statistical significance! We discuss what are some of the things you should look out for when reading and discerning research as well as some of the wider elements of research to better understand that world.
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Ep. 045|Pain, The Brain & Emotional Learning| Melissa Farmer
09/30/2022
Ep. 045|Pain, The Brain & Emotional Learning| Melissa Farmer
I speak with the amazing Dr Melissa Farmer, Clinical Psychologist, Neuroscientist, researcher, CCO & co founder of Aivo Health! Melissa and I talk about chronic pain and the influence that has on both the brain & body as well as what we can do in clinic to both utilise these changes as well as how we can manage our patients with chronic pain with our approach to help them both feel seen and heard. We discuss her approach as to how she applies her research in clinic and what the importance is of getting research into clinics quicker rather than how it now trickles down! We touch on a lot of different topics throughout the hour, tune in and find out!
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Episode 044: ACL Rehab & Biomechanics with Enda King
09/03/2022
Episode 044: ACL Rehab & Biomechanics with Enda King
We've returning guest the always fantastic Enda King with us this month to discuss ACL Biomechanics & movement strategies post op - an area where Enda had done his PhD in! We look at how you can objectively help your patients even if you don't have a fancy biomechanics lab, where the idea of a 10% difference for RTP comes from and how that translates into reality as well as how you can coach your patients without coaching through movement constraints! Tune in to find out more!
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Episode 043: Patient's Perspective: Traumatic Brain Injury with Curtis Anderson
08/06/2022
Episode 043: Patient's Perspective: Traumatic Brain Injury with Curtis Anderson
This months guest is Curtis Anderson, a severe traumatic brain injury (TBI) survivor for a new area we’re looking to dive deeper into on the podcast – the patient’s perspective. We talk to Curtis about his 20 year journey and how he defied what was initially thought possible for the full extent of his rehab. After 3 weeks in a medically induced coma he spent a year in a rehabilitation center and he has since gone on a journey to be a motivational speaker helping other get through their own journeys as the prime example of what can happen when you don’t give up, even after 20 years, when you are determined to treat every day as an opportunity to do better, be better and perform better. In his own words, it took him 8 years to learn to drive again, 8 years to use a staircase with the railing on the left side, 10 years to be able to pick up change from the counter top & 16 years to pick it up off of the ground! He's an inspiration and the personification of never giving up and I hope you enjoy hearing about his journey as much as I have!
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Episode 042: Pelvic Floor Physio with Dr Sarah Haag
07/01/2022
Episode 042: Pelvic Floor Physio with Dr Sarah Haag
On this episode I speak to Dr Sarah Haag about pelvic floor physiotherapy - from what we need to listen to when talking to our patients to when we should refer on for a specialist and beyond! Tune in to this episode as we explore an area of the body that has, for me, for all intents and purposes, been a bit of a black hole that, I admittedly say on the podcast - I'm glad I've worked previously with pelvic floor specialists in the same clinic as I would never have even recognised to refer on in the past! An area under-explored by our education (there's a lot to cover during the education - not hating) I hope this episode can, for you, help shine a light on the area where the sun don't shine!
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Episode 041: Lower Limb Orthopedics & Communication with Dr Ahmad Malik
06/03/2022
Episode 041: Lower Limb Orthopedics & Communication with Dr Ahmad Malik
On this edition of the podcast we talk with Dr Ahmad Malik, foot & ankle orthopedic consultant. We start the discussion looking at surgeries, what constitutes a good or bad candidate for surgery as well as reactions to metal work after the fact. In addition to that, we discuss the importance of listening to your patients and fully exploring their situation and not just writing them off as a complaining patient or the classic "get over it" sort of answer! It's something that we as healthcare professionals should value very highly and a conversation that everyone can take something from, however it's safe to say given the conversations I've had with both patients and fellow colleagues as a result of the podcast that not all healthcare professionals take the time to fully hear what their patient is telling them!
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Episode 040: Achilles Tendon Rupture with Lizzie Marlow
05/07/2022
Episode 040: Achilles Tendon Rupture with Lizzie Marlow
On this episode of the podcast I talk with Lizzie Marlow, an MSK physiotherapist & educator specialising in lower limbs with special interests in running injuries, lower limb tendinopathies & of course management & treatment of achilles ruptures. We talk about everything surrounding Achilles tendon rupture rehabilitation. From the initial assessment to the rehabilitation - as well as what is important at the initial stages of identifying the rupture (I have unfortunately seen a 1 or 2 missed...) - utilising ultrasound to get the optimal position for the torn tendon to repair as well as decisions on whether or not to operate, then guiding through the rehabilitation process itself!
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Episode 039: Neuro-Sport & Rehab with Katie Mitchell
04/01/2022
Episode 039: Neuro-Sport & Rehab with Katie Mitchell
This time we speak with , a researcher, educator, physical therapist, athletic therapist & with a special interest in concussions and rehabilitation as well as the role our neuromuscular connection plays into rehab - not just in the post concussion athlete, but para-athletes, musculoskeletal complaints & rehab as a whole! We discuss compensation strategies - briefly how & why they come about, as well as how Katie tackles that in rehabilitation by getting the patient to indirectly address the compensation strategies through task modification! We also touch on how we can use these strategies for something as simple as an ankle sprain, to post op & more! Tune in to find out more!
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Episode 038: Nutrition & Social Media ethics in Physiotherapy
03/05/2022
Episode 038: Nutrition & Social Media ethics in Physiotherapy
This month we're speaking to Ben Steele-Turner (). Ben is a Physiotherapist with a Msc in nutrition having spoken on the topic in conferences and a lecturer in musculoskeletal health. Next to that he's also a personal trainer and previously competed in body building fitness competitions - he stays busy! We spoke about the importance of nutrition, what counts in your micro's and macro's when you're talking about injury rehabilitation and just how particular one needs to be about their intake! In addition we discuss ethics in the world of social media and how we as healthcare professionals can help to lift the profession
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Episode 037: PFPS with Claire "Patella" Robertson
01/29/2022
Episode 037: PFPS with Claire "Patella" Robertson
This time we're joined in studio with none other than returning guest, Claire Robertson! Claire is back to talk to us about patellofemoral pain syndrome (PFPS). From defining what it actually is as an all encompassing term, to rehab strategies and potentially what adjuncts may be useful. Don't forget to head over to to check out our latest course with Claire Robertson on everything you need to know about PFPS including real life case studies and example rehab exercises to complement your programming, everything you need to go back into clinic on Monday feeling more competent and confident!
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Episode 036: Hip pathology & FAI with Mehmet Gem
01/01/2022
Episode 036: Hip pathology & FAI with Mehmet Gem
This time we're joined by hip specialist Mehmet Gem to discuss hip pathologies, how you're going to assess patients in clinic and how without further imaging begin to develop a picture of what might be going on in your patients hip to determine whether or not further action outside of physio alone is needed! We dive deep on FAI and his own experience there post op and discuss what he would do differently knowing what he knows now all these years later and the importance of a well structured loading program!
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Episode 035: S&C in Elite Performance
12/04/2021
Episode 035: S&C in Elite Performance
Join us as we sit down with Yoeri Pegel - head of strength for Ajax football club in Amsterdam as well as working with Olympic athletes & elite combat sports athletes. We talk about everything from training in season & out, how to maximise gains and when to focus more on maintenance. Yoeri discusses his approach to coaching, cueing and being flexible to the audience you're working with, as well as what "sports specific" training means and the principles he takes in to every session!
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Episode 034: Orthopaedic surgery 101
11/06/2021
Episode 034: Orthopaedic surgery 101
In this episode we talk about what it is your orthopaedic surgeon would consider (and what Dr. Jorge Chahla *heavily* emphasised - in consultation with the patient) in the decision making process as to whether or not surgery was a suitable option, or if something such as biologics would be a better option. We touch on the decision making process in elite sports where Dr Chahla works with the Chicago Bulls, White Sox & Fire FC. We also touch on what factors surgeons look for in the therapists they work with!
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