Physiotutors Podcast

In Episode 77 of the PhysioTutors podcast, we welcome Hedwig Neels, a renowned physiotherapist from Belgium who specializes in pelvic health. Hedwig is a professor at the University of Antwerp and founder of the Pelvic Floor platform, which aims to break taboos and make pelvic health accessible and understandable for women. During the episode, Hedwig discusses her journey in creating the Pelvic Floor platform and the common misconceptions around pelvic health, such as the overemphasis on Kegel exercises. She emphasizes the importance of education, awareness, and a holistic approach to pelvic health. The conversation also covers pelvic health during pregnancy and postpartum, highlighting the need for pelvic floor training and the challenges in returning to high-impact sports. Hedwig shares insights into male pelvic health, particularly saddle pain in cyclists, and the significance of relaxation over strengthening in certain cases. The episode concludes with a discussion on the future of pelvic floor rehabilitation and the importance of open communication and education in the field. Hedwig provides valuable resources and advice for physiotherapists and individuals looking to understand and improve pelvic health.   Guest Hedwig is a physiotherapist specializing in pelvic health, with a particular focus on education and awareness. She is a professor at the University of Antwerp, where she combines academic research with clinical practice at the University Hospital of Antwerp. Hedwig is also the founder of The Pelvic Floor, an information platform and community designed to break taboos and make pelvic health accessible and understandable for all women. She teaches both medical and paramedical professionals through the Women's & Pelvic Health Professionals network and is the author of Het Bekkenbodemboek — a beautifully illustrated, accessible guide to pelvic floor health for women. Her clinical expertise also extends to athletes, including both women and men, with a special focus on cycling-related saddle pain and its impact on performance.   Content 00:00 Intro 01:12 Why she started her Pelvic Health Platform 03:19 Misconceptions about the Pelvic Floor 06:42 Sponsor 07:19 Lowering the barrier to start talking about pelvic health 12:00 Pelvic Health during and after pregnancy 15:40 Return to sport post-partum 20:00 Quantifying pelvic floor function in practice 23:37 Pelvic Floor Problems among top reasons women stop playing sports 26:52 Male pelvic pain 31:43 More about letting go than holding in 34:12 Pelvic health skills for non-pelvic health practitioners 37:01 Sponsor 38:02 Go beyond Kegels 42:54 Don't forget the pelvic girdle 46:34 The biggest innovation in pelvic rehab 49:32 What every physio should know about pelvic health 51:02 Hedwig's closing thoughts 53:18 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: Spotify | Apple Podcasts    

In episode 76 of the podcast, we engage with Dan Elias, a seasoned physiotherapist with over 15 years of experience, specializing in youth athletes. Dan works with the England athletics team and runs the Youth Physiotherapy Clinic in Bath, focusing on athletes aged 8-18. During the episode, Dan discusses his journey into youth physiotherapy, emphasizing the unique approach required for treating young athletes compared to adults. He highlights common misconceptions about physiotherapy for children and the importance of adapting communication and treatment strategies to suit their developmental needs. Dan elaborates on the challenges of managing injuries during growth spurts and the significance of bone health and appropriate strength training for young athletes. He also addresses the phenomenon of overtraining, offering insights into recognizing early signs and mitigating risks through proper rest, nutrition, and diversified physical activities. The conversation underscores the role of fun and engagement in rehabilitation and the necessity of establishing healthy long-term habits for injury prevention. Dan stresses the importance of understanding each child's unique circumstances and fostering a supportive environment that encourages confidence and communication. The episode is a comprehensive discussion on the nuances of youth physiotherapy, offering valuable insights for parents, coaches, and practitioners involved in youth sports.   Content 00:00 Intro 01:14 Dan's Journey into Youth Athletics 04:34 What are the biggest misconceptions on Youth Athlete Physiotherapy 08:03 Tips on communicating with children & adolescents 10:08 How Growth Spurts affect Injury Risk 16:19 Sponsor 17:20 What does a typical Assessment look like 22:20 What are common injuries in this population? 25:05 Are avulsion fractures prevalent? 26:13 How to recognize early signs of overtraining 30:30 How to deal with overtraining symptoms 33:01 Specific sports that have the most injuries 35:35 Resistance Training in adolescents 38:02 How to design "fun" rehab plans 41:15 Sponsor 42:03 How to help adolescents create healthy habits 45:26 Physical and mental advice for young patients 50:25 Parents' biggest mistakes in youth development 52:54 Early sports specilization 54:05 Dan's closing thoughts 55:47 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: Spotify | Apple Podcasts  

In this episode of the podcast, we are joined by Shrey Vazir, an advanced physiotherapist and founder of Mind Body Horizons. Shrey shares his personal journey of managing fibromyalgia and discovering the intersection of mindfulness and physiotherapy. He emphasizes the importance of integrating mindfulness practices into healthcare, particularly for managing chronic pain, stress, and burnout. Shrey discusses the science behind mindfulness, its benefits for patients and healthcare professionals, and offers practical steps for incorporating mindfulness into physiotherapy practice. He also addresses common misconceptions and barriers to adopting mindfulness and shares success stories of patients and professionals who have benefited from these practices. Listeners will get book recommendations for those interested in learning more about mindfulness and information on how to connect with Shrey.   Content 00:00 Intro 01:33 Shrey's Background 05:16 Founding Mind Body Horizon 07:40 Defining Mindfulness in Healthcare 14:05 Effects of Chronic Stress 20:24 How to integrate Mindfulness in Practice 28:10 Mindfulness Tips to prevent Clinic Burnout 32:15 Barriers to implementing Mindfulness 35:55 Athletes swear on Mindfulness 38:00 Dealing with Skepticism 43:15 Success Stories 50:56 Mindfulness Movement 52:50 Shrey's closing thoughts 54:25 Book Recommendations 56:32 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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

In Episode 72 of the Physiotutors podcast, we interview Dr. Daniel Belavy, a professor with a prolific research background in muscle, bone, and joint health, specifically focusing on low back pain. The discussion explores various aspects of back pain research, including disk herniations in astronauts, the role of mechanical loading in disk health, and the challenges of classifying non-specific low back pain. Dr. Belavy shares insights from his studies on physical exposure and spine postures, contextual effects in treatment, and exercise training for back pain. He emphasizes the importance of understanding how treatments work to optimize clinical care and highlights the ongoing quest to identify subgroups and optimal exercise prescriptions for back pain. The episode underscores the complexity of back pain and the multifactorial elements influencing it, advocating for continued research and collaboration in the field.   Content 00:00 Intro 00:57 Disc Herniations in Astronauts 04:08 Discs need (de-)loading 08:04 Is there a U-curve for loading? 10:15 NSLBP Classification Challenges 19:20 SI Joint Pain Classification Challenges 24:30 Physical Exposures and Low Back Pain 29:04 Physical Function/Activity and Low Back Pain 31:40 Contextual Effects in Low Back Pain 40:09 How to harness contextual effects in treatment 41:21 Which type of exercise is best for LBP 47:01 Exercise variables and pain reduction 50:29 Daniel's closing thoughts 53:00 Contact info 55:52 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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

In this episode of the Physiotutors podcast, Kai interviews Niek Vink, a physiotherapist and manager at the National Training Center for Ultrasound (NT-E) in Utrecht, Netherlands. They discuss the role and benefits of ultrasound in physiotherapy. Niek explains the basics of ultrasound imaging, comparing it to other imaging techniques like MRI and X-ray. He emphasizes that while ultrasound offers high spatial resolution and is useful for assessing soft tissues, it cannot see inside bones. The conversation also highlights the importance of dynamic scanning and sono-palpation in physiotherapy, as well as the advantages and disadvantages of ultrasound. The discussion covers the adoption and application of ultrasound in physiotherapy practices, noting varying levels of usage in different countries. Niek shares success stories and potential pitfalls, stressing the importance of proper training, practice, and patient communication to avoid nocebo effects. He also touches on new developments in ultrasound technology, such as AI and elastography, and offers advice for physiotherapists considering adopting ultrasound in their practice.    Guest Niek is a Physiotherapist from Utrecht, Netherlands  and the manager and teacher at NT-e, an educational company focused on teaching ultrasound imaging to doctors, and physiotherapists. He's been a public speaker on countless international events and today we will talk to him about the role of ultrasound in physiotherapy.   Content   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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

In this podcast, Dr. Claire Minshull shares her insights on teaching strength and conditioning to physiotherapists, emphasizing the practical application of academic knowledge. She discusses common mistakes in S&C practices, the importance of muscular strength in rehabilitation, and the significance of individualized exercise prescription for optimal outcomes. Claire also explores topics like measuring strength, rate of force development, and emerging technologies in strength training, underlining the need for patient-centered approaches and effective rehabilitation strategies. Guest Dr. Claire Minshull is a sport scientist, researcher and visiting professor at Leeds Beckett University in the UK. She has published more than 30 papers mainly on strength and conditioning and runs an educational company called Get Back to Sport Content 00:00 Intro 01:01 Claire's Journey in S&C 04:58 The issue with S&C in Physio 07:38 S&C Mistakes Physios make 13:36 Hypertrophy & Strength is important 18:43 How to gauge Strength 24:03 Compound vs. Isolation Exercises 27:19 How far to push Patients to Fatigue 33:26 Failure to adapt Exercise Prescription in Clinic 36:04 Rate of Force Development explained 42:47 Cross Education Effect explained 50:41 Tips to create Patient Buy-In to Exercise 55:06 Emerging Technology Highlights in S&C 01:01:56 Claire's closing thoughts 01:03:48 Contact Info 01:04:48 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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

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 lindy.ai/physiotutors 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: Spotify | Apple Podcasts  

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: Spotify | Apple Podcasts  

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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 the complete upper limb focus 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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts  

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 (@adamdobson123) 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. All bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts

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: https://www.csp.org.uk/studentconference23   Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts    

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts

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. All bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts

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. All episodes and bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts

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. All episodes and bonus content can be found here   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: Spotify | Apple Podcasts  

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.

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!

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!

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!

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!

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!  

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! 

This time we speak with Katie Mitchell, a researcher, educator, physical therapist, athletic therapist & clinic owner 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!  

This month we're speaking to Ben Steele-Turner (@PhysiUtrition). 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

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 www.physiotutors.com/courses 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!

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 you can, 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 physiotherapy alone is needed! We dive deep on FAI and Mehmet's 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! That and much much more on this hip-centric episode of the Physiotutors Podcast - tune in to find out more!

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! In addition to that we touch on how he looks at and measures fatigue so you know when to and more importantly, not to push the athletes!

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 where time constraints may cause one to choose a different decision making process. On top of that we talk about what orthopaedic surgeons look for in the physiotherapists they work with and what factors go into a successful rehabilitation!

Yann Le Meur sits down with us to discuss recovery & sports performance through his work with elite athletes from the French Olympic team over 3 Olympic cycles, to the world number 2 in tennis Daniil Medvedev & AS Monoco to name but a few. We discuss everything from his role in aiding the athletes sports performance & recovery, and where he feels the MDT approach has proved to be of the utmost importance in creating better outcomes through a better understanding of the athletes they are working with. Yann also talks about how he believes the best way to have optimum recovery isn't necessarily all about the post-game or post-training elements, but also how well trained an athlete is *before* the even get to the field/court/mat/pick your poison!

On this episode of the podcast we talk with Vestibular Rehabilitation specialist Firat Kesgin about the intricacies of vestibular rehab, and just how complex it can be, what the effects are if a patient is misdiagnosed and then continue down the "wrong" pathways, as well as what you can do to help aid and guide their rehab. If you've listened to our podcasts on concussions you will know just how pivotal an early diagnosis of a vestibular issue can be and when left unchecked and untreated how devastating the results can be! Tune in to find out more! Firat is also the man behind our giant mega-course, published recently on vestibular rehabilitation (you can find out more on www.physiotutors.com/courses) Check it out! Let us know your thoughts!

In this episode of the podcast we talked to a leader in the field of headache & migraine research. As a practising physiotherapist René has the fortune of being able to take his research and apply it directly in clinic, applying not just statistically significant but also that which will in turn be clinically significant and appropriate for use. We discuss assessment strategies for headaches, what you can look out for in your history taking and approaches for physiotherapeutic treatment.

In this episode of the podcast I get to speak with Roger Kerry, physiotherapist, researcher & educator. Roger Kerry has lectured internationally extensively on the topic of Cervical Arterial Dysfunction (CAD) to help bring to light an area of physiotherapy that we may not be addressing as much as necessary. We discuss signs & symptoms to look out for in patients when you suspect CAD may be an issue, what your next steps are as a physio as well as what are the predisposing factors to help in your clinical reasoning!

In this episode of the podcast I get to speak with Pat Camp - a respiratory rehabilitation specialist and researcher with around 3 decades experience as a physiotherapist & over a decades experience in research for respiratory physiotherapy. Pat is also the host of the LungFit podcast where she discusses the latest in pulmonary rehabilitation. We speak about respiratory rehabilitation in chronic patients as well as addressing the elephant in the room that is Covid 19. We talk about structuring your rehab plan with chronic patients, how you can build with those patients and talk about what aspects from other lung diseases we may be able to carry over into Covid-19 rehab keeping in mind just how little is still known with regards to long term issues. Whilst we do discuss Covid 19 patients and I myself have seen a few covid recovered patients - both myself and Pat want to make note that this was recorded early in 2021 whilst not a lot of information was available for post-covid rehabilitation however we hope that you still have some take away moments from that aspect of the podcast!

Today I'm speaking with the man behind the newest online course Central Sensitization - Jo Nijs - member of the famed Pain In Motion research group. We talk about central sensitization - the pillars behind the approach that the PIM group utilise, wider aspects of research and environmental aspects that can influence the pain response and recovery such as diet and sleep and how you can take that directly into practise along side your graded exercise/exposure program as well as tackling patient beliefs.

In this episode of the podcast I get to speak with the man behind Squat University - Aaron Horschig, who himself is an ex competitive Olympic style lifter, Physiotherapist, writer & speaker working with some of the cream of the crop in competitive sports - from NFL to competitive weightlifting. In this episode we address the elephant in the room of biomechanics - do they really matter? Is technique that important or is there something to the social media influencer style of "just getting it done, doesn't matter how". We discuss the wider implications and the evidence behind why some beliefs have developed around lifting and technique as a result of certain studies. Listen in to find out more... oh, and yes, we do discuss the squat!