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.

Tingling, Weakness & Pain? Let’s Talk Cervical Radiculopathy with Dr. Erik Thoomes 03/05/2025

Tingling, Weakness & Pain? Let’s Talk Cervical Radiculopathy with Dr. Erik Thoomes In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy. The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests including Spurling's test and neural tension tests to improve diagnostic accuracy. Dr. Thoomes also challenges the reliability of traditional dermatomes and myotomes, advocating for individualized assessment and treatment strategies. The conversation covers various treatment options, highlighting the ineffectiveness of cervical traction and suggesting neurodynamic mobilization, spinal manipulative therapy, and targeted exercises. Dr. Thoomes advises adapting management strategies from acute to chronic stages and stresses the role of patient education and self-management. The episode also touches on the limited role of imaging unless necessary and discusses the importance of differentiating cervical radiculopathy from other conditions. Dr. Thoomes calls for more research in areas like epidemiological data and neurodynamic mobilization and shares clinical gems for effective management. The episode concludes with an emphasis on individualized patient care and encourages questions and further discussion from listeners. Content 00:00 Intro 00:52What is Cervical Radiculopathy? 04:05 Cervical vs Lumbar Disc Herniation 05:29 Clearer Terminology needed 07:15 Prevalence and Risk Factors 08:26 Most useful Tests 10:33 Crucial History Findings 11:56 Dermatomal/myotomal examination 13:13 Treatment Options 18:27 Manipulations? Mobilizations? 21:29 Motor Control Training 24:55 Directional Preference in the Cervical Spine? 26:03 Higher Level Exercises 27:01 Self-Management 28:52 Diagnostic Mistakes to Avoid 31:30 Red Flags and Imaging 33:15 Lessons to learn from LRS 34:25 Future Research Directions 37:45 Top Tips 39:27 Outro & Contact Info 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: | /episode/index/show/physiotutors/id/35087350

Beyond the Bench: A Pro Sports Physio’s Journey with Philip Andersson 02/07/2025

Beyond the Bench: A Pro Sports Physio’s Journey with Philip Andersson Description In episode 73 of the Physiotutors podcast, we talk to Philipp Andersson, a seasoned physical therapist and strength and conditioning coach who heads the medical department for IFK Värnamo in Sweden's top football league. Philipp shares insights into his unconventional journey into sports physiotherapy, starting with a passion for working in professional sports, leading to volunteering opportunities that paved his way into elite sports teams. Despite lacking initial connections, his determination and strategic volunteer work helped him secure his current role. Philipp discusses the unique challenges of working with both women's and men's football teams and the differences between training high-profile clients and professional athletes. He emphasizes the importance of sport-specific training and the need to connect gym work with on-field performance. The conversation also touches upon common injuries in soccer, particularly the prevalence of ACL injuries in women and muscle injuries in men, and the balance between performance and recovery. Philipp talks about the realities of working in professional sports, debunking myths about glamour and high salaries, and highlights the rewarding aspects, such as forming strong connections with players. He also shares his leadership philosophy, stressing the importance of listening and open dialogue within a multidisciplinary team. The episode concludes with insights into Philipp's daily routine and the demands of balancing personal life with a career in professional sports. Guest Philip Andersson is a Physical Therapist and Strength & Conditioning Coach leading the medical department for IFK Värnamo in Sweden’s top football league. With experience in elite women’s football and training high-profile clients, Philip brings a wealth of knowledge on athlete care and performance. Content 00:00 Intro 00:35 Philip's Journey into Professional Sports 03:13 Challenges of working with Athletes vs. Celebrities 05:05 How he landed his clients 06:00 Most common injuries he sees 07:45 Different injuries in men's vs. women's sports 08:22 Decision-making for RTP in professional sports 09:46 What's physio really like in professional sports 12:07 Common misconceptions 14:35 Most rewarding moments 18:13 Differences working with high profile clients 19:17 Leadership lessons 20:45 Philip's Advice to land a job in professional sports 23:30 Use of non EBP in professional sports 28:08 Philip's work philosophy 29:20 A typical day/week 32:20 Career Plans 34:30 Bonus Story 37:50 Bonus Story 2 39:29 Contact Info & 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: | /episode/index/show/physiotutors/id/34483690

Exploring the Cosmos of Low Back Pain: From Astronauts to Everyday Life with Daniel Belavy 01/04/2025

EP. 071: Nerves Under Pressure - A Deep Dive into Entrapment Neuropathies with Annina Schmid 12/07/2024

EP. 071: Nerves Under Pressure - A Deep Dive into Entrapment Neuropathies with Annina Schmid In this episode of the PhysioTutors podcast, Dr. Annina Schmid, a specialist in musculoskeletal physiotherapy and a professor of pain neurosciences at Oxford University, discusses entrapment neuropathies, focusing on conditions like carpal tunnel syndrome and cubital tunnel syndrome. She explains that these conditions occur when nerves are compressed or irritated as they pass through narrow anatomical spaces, leading to symptoms such as pain, tingling, numbness, and sometimes motor changes like weakness. The conversation covers common types of entrapment neuropathies, diagnostic challenges, and distinctions between peripheral and nerve root entrapment. Dr. Schmid emphasizes the importance of pattern recognition, detailed patient assessment, and understanding the anatomical and neurological aspects of each case. Dr. Schmid also delves into the importance of deep clinical phenotyping and precision physiotherapy, highlighting the need for detailed understanding of patient presentations and individualized treatment approaches. She discusses the potential benefits and mechanisms of neurodynamic treatments and other interventions, stressing that education and managing patient expectations are crucial. The discussion touches on the role of advanced imaging techniques like ultra-high field MRI in diagnosing and treating entrapment neuropathies, and the significance of surgical intervention in severe cases. The episode concludes with Dr. Schmid's takeaways for clinicians, emphasizing the need for careful diagnosis, patient education, and innovative research approaches. Content 00:00 Intro 00:48 What are entrapment neuropathies? 01:48 Typical presentations 02:45 Does Piriformis syndrome exist? 05:10 Causes and Riskfactors of PNE 07:23 Differential diagnosis 13:00 How reliable is dermatome examination 15:25 What is Deep Clinical Phenotyping? 20:20 What is Precision Physiotherapy? 24:37 Effects of Neurodynamics 26:49 Effectiveness of other Interventions 31:35 Interface treatment 34:40 When to refer for surgery 36:48 Nerve repair 41:25 Ultra High Field MRI Explained 44:48 Three Take Aways 47:03 Annina's Closing Thoughts 48:13 Contact Info 49:39 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: | /episode/index/show/physiotutors/id/32941512

EP. 070: From Resistance to Commitment - Achieving Behavior Change in Therapy with Serena Simmons 11/02/2024

EP. 070: From Resistance to Commitment - Achieving Behavior Change in Therapy with Serena Simmons In this episode of the Physiotutors podcast, Kai interviews Serena Simmons, a seasoned psychologist with over 30 years of experience, about behavioral change and patient buy-in in healthcare. Serena highlights the challenges that healthcare providers face due to the lack of psychological training in their initial education, which often leaves them unequipped to effectively promote behavioral change in patients. She emphasizes the importance of understanding both the practitioner's and the patient's psychology to foster meaningful interactions and facilitate change. Serena discusses the significance of the patient-provider relationship, suggesting that building trust and rapport is crucial, and that understanding and addressing the patient's intrinsic motivations can lead to better adherence to treatment plans. Additionally, Serena offers practical advice for healthcare providers, such as spending more time understanding the patient's emotional reasons for seeking treatment and creating small, achievable milestones to reinforce progress. She also stresses the importance of self-awareness and communication skills for practitioners, recommending further education in human psychology and decision-making processes. Serena's insights underscore the need for a holistic approach that combines psychological understanding with clinical expertise to improve patient outcomes. The episode is rich with strategies for enhancing patient engagement, compliance, and overall effectiveness in physiotherapy and other healthcare practices. Content 00:00 Intro 02:00 Barriers to behavior change 05:19 How to identify psychological factors impeding recovery 08:15 How to create rapport 14:27 Everything starts with you 18:30 How to strengthen your bond with a patient 24:24 How to uncover a patient's "why" 33:40 The benefit of hands-on treatment 35:13 Motivational Interviewing 39:10 My patient doesn't do exercises 46:06 How to secure buy-in 51:09 Recommended reading 53:30 Serena's closing thoughts 54:10 Contact info 54:35 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: | /episode/index/show/physiotutors/id/32875002

EP. 069: Seeing the Unseen - Diagnostic MSK Ultrasound with Niek Vink 10/05/2024

EP. 068: The Athletic Shoulder - Overcoming Instability for Peak Performance with Edel Fanning 09/07/2024

EP. 068: The Athletic Shoulder - Overcoming Instability for Peak Performance with Edel Fanning In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, such as dislocations in contact sports like rugby and rotator cuff issues in overhead sports like swimming and tennis. She emphasizes the importance of considering the kinetic chain in rehabilitation, focusing on both local shoulder control and the role of other body parts to optimize recovery and performance. Edel also highlights the significance of proper scapular function and offers insights into the nuances of treating shoulder injuries, including specific exercises and positions to support recovery. Edel also delves into the challenges of returning athletes to sport post-injury, discussing the importance of objective testing, psychological readiness, and sport-specific considerations. She outlines the differences in rehabilitation approaches for contact vs. non-contact sports, noting the unique demands and injury mechanisms of each. The conversation touches on screening tests, injury prevention strategies, and the development of an online course on athletic shoulder rehabilitation. Edel's expertise and practical advice provide valuable insights for physiotherapists and sports professionals aiming to enhance shoulder health and performance in athletes. Content 00:00 Intro 00:45 Which pathologies to consider 08:34 The scapula and stability & performance 15:36 Which muscles to consider in rehab 19:08 The importance of strength in the kinetic chain 21:43 How to reduce injury risk 25:03 Shoulder warm-up routines 27:29 Screening tests useful? 33:11 Exercise dilemmas 38:47 AC Joint Injuries 45:50 What is assessed? 51:35 RTP & RTS markers are different 01:00:09 Edel's closing thoughts 01:01:00 Contact Details 01:02:50 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: | /episode/index/show/physiotutors/id/32064212

EP. 067: Step by Step - The Ultimate Guide to Ankle Sprains with Jente Wagemans 08/03/2024

EP. 067: Step by Step - The Ultimate Guide to Ankle Sprains with Jente Wagemans Summary In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injuries, and touch on chronic ankle instability, a condition that remains somewhat ambiguous and under-researched. Jente emphasizes that while ankle sprains are common, particularly in sports, the transition to chronic instability isn't always straightforward and requires more prospective data for a clearer understanding. We also explore the prevalence of ankle sprains across various sports and demographic groups, noting higher incidences in females and younger populations. Jente shares his approach to managing ankle sprains, from the acute phase to return to sport, advocating for exercise-based rehabilitation and the importance of patient education. He highlights the Peace and Love principles for immediate post-injury care and emphasizes the role of neurocognitive tasks in rehabilitation. We also discuss the use of orthopedic tests, ultrasound, and the significance of understanding which ligaments are involved in the injury for effective treatment. Jente stresses the importance of not underestimating ankle sprains, ensuring proper rehabilitation to prevent recurrence, and the potential role of surgery in persistent cases. Guest Jente Wagemans is a physiotherapist and researcher at the University of Antwerp who is currently doing is PhD in collaboration with Ulster Universtity and Bern University of applied sciences. As part of his PhD he has published several papers about ankle sprains and chronic instability. Timestamps 00:00 Intro 00:49 What is a lateral ankle sprain? 02:04 How is it different from other sprains? 03:12 At what point do we talk about chronic instability? 08:00 Prevalence 09:36 The typical patient 11:22 Risk factors 14:00 Ankle mobility & strength metrics 15:07 Chronic Instability risk factors 18:45 Red Flag Awareness 23:46 PEACE & LOVE 26:45 Orthopedic Testing 31:20 When is MRI valuable? 32:54 Functional Assessment 36:37 Management Approach 45:18 Taping & Braces 47:13 Recurrence & Prevention 49:00 When surgery is indicated 52:10 Return to Sport timeline 56:20 Jente's closing thoughts 57:53 Contact Info 59:40 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: | /episode/index/show/physiotutors/id/31694717

EP. 66: Empowering Movement - Integrating S&C into Physiotherapy with Claire Minshull 07/06/2024

EP. 065: More than Meds - Exploring Physiotherapy for Migraine Management with Kerstin Luedtke 06/01/2024

EP. 065: More than Meds - Exploring Physiotherapy for Migraine Management with Kerstin Luedtke In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she emphasizes the need for a holistic approach in managing migraines, incorporating physiotherapy interventions alongside pharmacological treatments. Dr. Luedtkee suggests addressing musculoskeletal dysfunctions in the neck, providing education on migraine triggers and symptoms, promoting relaxation techniques, and encouraging aerobic exercise. She also mentions ongoing research areas focused on patient perspectives, the effectiveness of physiotherapy in migraine treatment, and the importance of incorporating patient feedback into future studies to enhance the overall management of migraines. Content 00:00 Introduction 00:37 Definition of Migraine Headaches 01:40 Migraine with Aura 03:30 Pathophysiology 05:30 The role of the Hypothalamus 07:36 Risk Factors for Migraine 13:25 Prevalence 16:44 The typical patient 18:29 Migraine and Chronic Pain 21:30 Red Flags 23:13 Other Diagnostic Measures 29:00 MSK Dysfunctions in Headache 31:18 The role of Vestibular Assessment 33:25 Subtype Vestibular Migraine 34:34 Physical Therapy Effectiveness 40:11 Guideline Management Approach 45:15 Added benefit of moving more? 46:16 Hot topics in Migraine Research 48:30 The Importance of the Patient’s perspective 49:56 Contact Info 51:15 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: | /episode/index/show/physiotutors/id/30880973

Ep. 064 | Beyond Tennis Elbow - A Deep Dive into Lateral Elbow Tendinopathy | Leanne Bisset 05/04/2024

Ep. 064 | Beyond Tennis Elbow - A Deep Dive into Lateral Elbow Tendinopathy | Leanne Bisset In this podcast episode, Dr. Leanne Bisset, a musculoskeletal physiotherapist and associate professor at Griffith University, shares valuable insights on lateral epicondylalgia, also known as lateral elbow tendinopathy. She discusses the anatomy and function of the affected muscles, highlighting the importance of stability in wrist movements and the role of the extensor carpi radialis brevis. Dr. Bisset emphasizes the shift in terminology from epicondylitis to tendinopathy, debunking misconceptions around inflammation in the condition and providing a comprehensive overview of diagnostic considerations, risk factors, and red flags to look for during assessment. Furthermore, Dr. Bisset delves into the management of lateral elbow tendinopathy, emphasizing the significance of tailored exercise programs focusing on isometric loading initially, progressing to incorporate global upper limb strengthening for comprehensive rehabilitation. She also addresses the limited efficacy of modalities like shockwave therapy and the potential benefits of orthoses in pain management. Dr. Bisset's evidence-based approach underscores the importance of patient education, individualized treatment plans, and monitoring pain responses to optimize outcomes in the management of lateral epicondylalgia. Guest Dr. Leanne Bisset is a musculoskeletal physiotherapist and an associate professor at Griffith University at the gold coast, Australia. She has published over 100 papers on a variety of topics and has done extensive research on lateral epicondylalgia. Chapters 00:00 Intro 00:44 Definition of lateral elbow tendinopathy 05:39 Why Inflammation is inaccurate 11:49 Risk factors 13:46 The typical patient 17:34 Red Flags 27:30 Diagnostic tests 29:49 Leanne's Diagnostic Approach 32:27 Treatment 38:15 Details on Isometric Loading 49:29 Other treatments 54:02 Treatment Progressions 58:45 How much pain to allow 01:01:28 Shockwave and Dry Needling 01:03:56 Elbow Braces 01:05:50 Contact Info 01:06:58 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: | /episode/index/show/physiotutors/id/30456813

Ep. 063 | From Irritation to Recovery: A Complete Guide to Conquering Shin Splints (MTSS) | Tom Goom 04/06/2024

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: | /episode/index/show/physiotutors/id/29057368

Ep. 061 | Jaw-dropping Insights: Tackling TMJ Dysfunction | Corinne Visscher 02/03/2024

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: | /episode/index/show/physiotutors/id/28428701

Ep. 059 | The Shoulder Blade Shuffle: Separating Fact from Fiction in Scapula Dyskinesia | Filip Struyf 12/02/2023

Ep. 058 | Beyond the Clinic: Harnessing Lifestyle for Physiotherapy Success | Jaap Wonders 11/04/2023

Ep. 057 | Ring of Truth: Exploring Physiotherapy's Role in Tinnitus Treatment | Sarah Michiels 10/07/2023

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: | /episode/index/show/physiotutors/id/27580116