On The Fence Physio

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On The Fence Physio is a physical therapy podcast that discusses, debates, and derails the “gray” issues in physical therapy. If you were ever answered by a professor “it depends” this is the place for you

Andrew Wiseman


    • Oct 14, 2024 LATEST EPISODE
    • infrequent NEW EPISODES
    • 33m AVG DURATION
    • 29 EPISODES


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    Latest episodes from On The Fence Physio

    How Much Do Contextual Effects Matter in Physio?

    Play Episode Listen Later Oct 14, 2024 23:15


    Does your clinic look a little rough around the edges or is it a pristine utopia of healthcare? Are you wearing jeans and flip flops or shirt and tie with your white coat? Do things like this impact patient outcomes? Does it even matter? Will the questions in this description end? Yes!

    Does MDT Work for Neck Pain?

    Play Episode Listen Later Mar 18, 2024 28:46


    Our hiatus is over and no explanation will be offered. Andy and Matt return to the basics of discussing the who, what, where, and why around the use of MDT in neck pain.

    OTF Student Special - Henry Iraheta and BFR in Post-op Knee

    Play Episode Listen Later Mar 2, 2022 41:30


    Marymount standout Henry Iraheta stays cool under pressure as his CI puts the squeeze on this scoping review of BFR literature.

    Journal Club: Can We Predict Foot Pain?

    Play Episode Listen Later Feb 16, 2022 19:46


    Chronic Plantar Heel Pain Is Principally Associated With Waist Girth (Systemic) and Pain (Central) Factors, Not Foot Factors: A Case-Control Study: Journal of Orthopaedic & Sports Physical Therapy Published Online: 31 Aug 2021 Volume 51 Issue 9 Pages 415-472

    CSM 2022 Round-up

    Play Episode Listen Later Feb 6, 2022 36:20


    Matt and Andy wrap the conference up in style with education takeaways, discussion around professional development, and marijuana puns. Play and pass this episode with your besties.

    CSM 2022 Day 2

    Play Episode Listen Later Feb 5, 2022 34:40


    Matt and Andy only want to bring you the lates bleeding edge therapy, so we spent most of the day stroking our bias in ACLR talks. Click here for our summary of Day 2 at CSM!

    HOT TAKE: CSM 2022 San Antonio Day 1

    Play Episode Listen Later Feb 4, 2022 32:11


    Andy and Matt have left the safe confines of home to bring you updates from the most grand gathering of physios across the land. Make sure to layer an extra towel, cuz these takes are hot!

    OTF Oct 21 - How to Recruit and Retain Physical Therapists

    Play Episode Listen Later Oct 27, 2021 48:37


    Matt and Andy throw down in this jam packed episode discussing all the ways PT companies try to hook vulnerable new grads and appease the old dinosaurs

    OTF Student Special - Christian Barnes and Prevalence of Persistent Pain after Joint Replacement

    Play Episode Listen Later Aug 24, 2021 40:44


    Rising star of Marymount University completed 12 grueling weeks under the tutelage of Andy, but being a masochist decided to take on this topic. Listen to find out how common persistent pain is and what factors may predict it.

    OTF July 21 - Opioids Vs Physical Therapy

    Play Episode Listen Later Aug 14, 2021 25:02


    In this tightly contested bout Matt and Andy argue for the use of the most unpopular drugs in the market. Or maybe not. The literature on this one leans a bit more heavily on one side of the fence than previous episodes.

    OTF June 21 - Joint Mobilizations

    Play Episode Listen Later Jun 28, 2021 33:29


    Glide it, Roll it, Pull it, Twist it, Bop it. Matt and Andy take on the role joint mobilizations should and shouldn't play in physical therapy. Our most moving episode to date.

    OTF April 21 - Pathoanatomical Diagnosis vs Movement Based

    Play Episode Listen Later May 25, 2021 43:40


    How do you diagnose your patients' problems? Fancy anatomy terms you keep on flash cards or ambiguous movement disorders you learned from a guru? Can we even diagnose what is causing your patient's problem? How many puns can Matt take before he ends the show? Find out in this episode of your favorite podcast you use as an excuse to not listen to your friend's podcast about craft beer.

    Journal Club - Dry Needling in Lateral Elbow Pain

    Play Episode Listen Later Apr 20, 2021 14:37


    These are the top ten most clickbait titles: number 5 will leave you speechless!

    Fence Post: Narratives in Patient Care

    Play Episode Listen Later Apr 19, 2021 14:16


    We (humans) use story telling as a way to communicate. In Physiotherapy, we create stories to help patients to understand and retain information about their healthcare. Andy discusses this concept and gives specific examples as he talks... to himself. Cool.

    OTF March 21 - Cash Based vs Third Party Payer

    Play Episode Listen Later Apr 12, 2021 42:11


    How should PT's be paid for their services and expertise? Should how we are paid affect what we do or don't do? Why did OTF go on a 2 month break? All these questions answered and more.

    Fence Post: What “Works” for Patellofemoral Pain Syndrome

    Play Episode Listen Later Jan 30, 2021 16:05


    Saad MC, Vasconcelos RA, Mancinelli LVO, Munno MSB, Liporaci RF, Grossi DB. Is hip strengthening the best treatment option for females with patellofemoral pain? A randomized controlled trial of three different types of exercises. Braz J Phys Ther. 2018 Sep-Oct;22(5):408-416. doi: 10.1016/j.bjpt.2018.03.009. Epub 2018 Apr 4. PMID: 29661570; PMCID: PMC6157473.

    OTF Dec 20 - When do we discharge from PT?

    Play Episode Listen Later Jan 25, 2021 51:29


    A thrilling conclusion to our first season of OTF Physio, fitting that we discussed when we end a plan of care in PT, who ends it, and why we should end it. We try so hard, and get pretty far, but in the end, does it even really matter?

    OTF Physio Holiday Special 2020

    Play Episode Listen Later Jan 3, 2021 24:18


    The holidays are over, so what is the most important question? What did you get? Well Matt and Andy got you listeners a special episode full of goodies: Winter puns, John Wick, murder hornets, and shameless self-promotion (batteries not included)

    OTF Student Special - Gabby Wilson and the Effectiveness of Non-surgical Management of RTC Patholo

    Play Episode Listen Later Dec 26, 2020 30:30


    2nd year Howard University SPT drops to knowledge on our listeners on what she found in her search for answers. Her question: for what patients is non-surgical management effective for RTC pathology. The answer may surprise you, that is, as long as you aren't a cynical jerk like our host.

    OTF Nov 20 - How should PT's recommend physical activity?

    Play Episode Listen Later Dec 26, 2020 50:53


    Should we tell our patients to exercise? To stay active? Is there a difference between physical activity and exercise? Can Matt stand cohosting with Andy for one more year? All these questions answered, and more!

    Journal Club - PT vs Injection for Knee OA

    Play Episode Listen Later Nov 23, 2020 33:06


    Extra Special Host Dr. Melanie Wiseman MD, discussing a primary care physician perspective on referring out knee osteoarthritis patients. Game of Thrones and Mandolorian references included free of charge. Deyle GD, Allen CS, Allison SC, Gill NW, Hando BR, Petersen EJ, Dusenberry DI, Rhon DI. Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee. N Engl J Med. 2020 Apr 9;382(15):1420-1429. doi: 10.1056/NEJMoa1905877. PMID: 32268027.

    OTF October 20 - What should we look for in PT continuing education?

    Play Episode Listen Later Nov 18, 2020 34:24


    Matt and Andy venture boldly into the murky depths of continuing education. Funny terms made up by gurus may be the highlight of this episode; certainly NOT Andy trying to rap his feelings.

    OTF September 20 - What are PT Metrics and What do they track?

    Play Episode Listen Later Oct 28, 2020 40:38


    In this episode our obnoxious hosts play with sound effects and discuss PT Metrics. As stated in the show, the views expressed on metrics by the hosts and participants are not reflective of their employer's, and also are not intended to sound disparaging of business practices. Join in on our next discussion by following @OTFPhysio on Twitter!

    OTF August 20 - Do We Expose Patients to Pain or Avoid It?

    Play Episode Listen Later Sep 15, 2020 29:22


    In this episode Matt takes the reigns, Andy derails the conversation with low brow puns, and we discuss how and when to expose and avoid patients in pain.

    OTF July 20 - Is PT Residency Worth It?

    Play Episode Listen Later Aug 18, 2020 36:40


    Andy and Matt discuss potential costs and benefits around postgraduate residency and fellowship programs. Have you ever considered specialty training? Well, our sources are biased, but our financial incentives are nil, so listen in to the 5th OTF podcast

    OTF June 20 - On The Fence about Prehab

    Play Episode Listen Later Jul 14, 2020 38:44


    Pre-operative physical therapy is becoming more and more popular; when is it valuable? What benefits does it provide? Is it for everyone? Matt and Andy, newly minted OCS's, summarize the discussion around prehab while failing to be funny.

    OTF May 20 - Patient requested treatment

    Play Episode Listen Later Jun 18, 2020 37:46


    What do you say when your patient asks for a specific treatment or intervention?

    OTF April 20 - COVID 19 Special Edition

    Play Episode Listen Later Jun 18, 2020 34:40


    Is physical therapy an essential service the the face of the COVID 19 pandemic?

    OTF March 20 - PT Dosage

    Play Episode Listen Later Jun 16, 2020 23:22


    In the pilot episode, Andy and Matt discuss issues around how much PT is the right amount of PT? How do you determine a plan of care on the eval day? To join in on the conversation, follow @OTFPhysio

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