The Shoulder Physio Podcast

In this episode of The Shoulder Physio Podcast, Dr Jared Powell sits down with Dr Mervyn Travers, physiotherapist, S&C coach, and researcher, to explore one of the most compelling frameworks in contemporary pain science: active inference. They discuss how this predictive brain model helps explain persistent musculoskeletal pain, why traditional exercise-based interventions might miss the mark, and how clinicians can use movement and context to shift a patient's pain experience. Merv blends philosophy, neuroscience, and clinical pragmatism in a way that's accessible, challenging, and highly relevant. Key talking points: What is active inference and how does it relate to predictive processing? The role of prior beliefs, culture, and clinical language in shaping pain Movement experimentation as a tool for model updating and recovery Why it's time to rethink how we prescribe exercise in pain rehab Clinical implications from landmark studies within the field that lend themselves to active inference A call for compassion, curiosity, and nuance in patient care Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 Merv website: Home - Optimise Rehab Merv X: @‌mervtravers Merv Instagram: @‌optimise_rehab See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode, Jared Powell sits down with Professor Gordon Guyatt, the physician and researcher who coined the term evidence-based medicine (EBM). They unpack the origins of EBM, why it's often misunderstood, and how it continues to shape modern healthcare. Rather than being rigid or formulaic, EBM is about integrating the best evidence with clinical expertise and—crucially—patient values and preferences.

In this episode of The Shoulder Physio Podcast, Dr. Jared Powell sits down with Dr. Charlotte Ganderton, a physiotherapist, researcher, and senior lecturer at RMIT University. Charlotte shares insights from her latest research on gluteal tendinopathy, breaking down common misconceptions about imaging, corticosteroid injections, and the infamous clam exercise. From understanding the role of compression in tendinopathy to discussing effective treatment strategies, this episode is packed with clinically relevant takeaways for musculoskeletal healthcare professionals. Tune in to hear Charlotte's perspective on how education, exercise, and progressive loading can make all the difference in patient outcomes.

In this episode of The Shoulder Physio Podcast, I am interviewed by my wife, Tara, about my recently completed PhD. For the past 7 years of my life I have been engaged in a research based PhD investigating the causal mechanisms underpinning the effectiveness of exercise therapy for rotator cuff related shoulder pain. This research program has produced 6 published pieces of research that is contained with the thesis. In this episode I briefly discuss the premise of the thesis, its main findings, and recommendations for future research. I also gives some tips and tricks and to prospective PhD or current PhD students which may help their journey. Don't miss this episode with myself, Dr Jared Powell, and my wife, the amazing Tara Powell. Buckle up! Key Papers: Powell JK, Lewis JS. Rotator Cuff-Related Shoulder Pain: Is It Time to Reframe the Advice, "You Need to Strengthen Your Shoulder"? J Orthop Sports Phys Ther. 2021 Apr;51(4):156-158. doi: 10.2519/jospt.2021.10199. PMID: 33789431. Powell JK, Schram B, Lewis J, Hing W. "You have (rotator cuff related) shoulder pain, and to treat it, I recommend exercise." A scoping review of the possible mechanisms underpinning exercise therapy. Musculoskelet Sci Pract. 2022 Dec;62:102646. doi: 10.1016/j.msksp.2022.102646. Epub 2022 Aug 8. PMID: 35964499. Powell JK, Schram B, Lewis J, Hing W. Physiotherapists nearly always prescribe exercise for rotator cuff-related shoulder pain; but why? A cross-sectional international survey of physiotherapists. Musculoskeletal Care. 2023 Mar;21(1):253-263. doi: 10.1002/msc.1699. Epub 2022 Sep 11. PMID: 36089802. Powell JK, Costa N, Schram B, Hing W, Lewis J. "Restoring That Faith in My Shoulder": A Qualitative Investigation of How and Why Exercise Therapy Influenced the Clinical Outcomes of Individuals With Rotator Cuff-Related Shoulder Pain. Phys Ther. 2023 Dec 6;103(12):pzad088. doi: 10.1093/ptj/pzad088. PMID: 37440455; PMCID: PMC10733131. Powell JK, Lewis J, Schram B, Hing W. Is exercise therapy the right treatment for rotator cuff-related shoulder pain? Uncertainties, theory, and practice. Musculoskeletal Care. 2024 Jun;22(2):e1879. doi: 10.1002/msc.1879. PMID: 38563603. READ THE WHOLE THESIS! Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio Podcast, I am joined by Rich Willy, PhD to discuss bone stress injuries. Rich is one of the foremost experts in the world on bone stress injuries, and it was a real pleasure to sit down with him for an hour to chat all things bone. Bone stress injuries can be quite common in athletic populations and the consequences of a poorly managed bone stress injury can be severe. As such, it is so important to be able to accurately detect a bone stress injury, know how to manage it, and give appropriate advice and education around what causes it and what is their probably prognosis. Rich gives us a masterclass on all of this and much more. Don't miss this wonderful episode with Rich Willy, PhD. Key Papers: Nunns M et al. Four biomechanical and anthropometric measures predict tibial stress fracture: a prospective study of 1065 Royal Marines. Br J Sports Med. 2016 Oct;50(19):1206-10. doi: 10.1136/bjsports-2015-095394. Epub 2016 Jan 8. PMID: 26746906. Warden SJ, Edwards WB, Willy RW. Preventing Bone Stress Injuries in Runners with Optimal Workload. Curr Osteoporos Rep. 2021 Jun;19(3):298-307. doi: 10.1007/s11914-021-00666-y. Epub 2021 Feb 26. PMID: 33635519; PMCID: PMC8316280. McLellan M, Allahabadi S, Pandya NK. Youth Sports Specialization and Its Effect on Professional, Elite, and Olympic Athlete Performance, Career Longevity, and Injury Rates: A Systematic Review. Orthop J Sports Med. 2022 Nov 4;10(11):23259671221129594. doi: 10.1177/23259671221129594. PMID: 36353394; PMCID: PMC9638532. Tenforde AS, Outerleys J, Bouxsein ML, Buckless CG, Besier T, Davis IS, Bredella MA. Metatarsal Bone Marrow Edema on Magnetic Resonance Imaging and Its Correlation to Bone Stress Injuries in Male Collegiate Basketball Players. Orthop J Sports Med. 2022 Jan 17;10(1):23259671211063505. doi: 10.1177/23259671211063505. PMID: 35071655; PMCID: PMC8777350. Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Rich on Twitter: @rwilly2003 Rich on Instagram: @montanarunninglab Rich's website: www.montanarunninglab.com See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Chris Neason and Claire Samanna to discuss their recently published randomised controlled trial exploring running as a treatment for chronic low back pain. Chronic low back pain is widely believed to be one of the biggest contributors to years lived with disability. As such, it is a problem that needs attention, and part of this is identifying effective treatments. Typically, exercise is a recommended and effective treatment for persistent low back pain, and this can include resistance exercise, pilates, yoga and many other movement based approaches. But what about good old fashioned jogging, could this work? Listen to find out! Don't miss this wonderful episode with Chris Neason and Claire Samanna. Key Papers: Neason C, Samanna CL, et al. Running is acceptable and efficacious in adults with non-specific chronic low back pain: the ASTEROID randomised controlled trial. Br J Sports Med. 2024 Oct 7:bjsports-2024-108245. doi: 10.1136/bjsports-2024-108245. Epub ahead of print. PMID: 39375007. Natoli A, Jones MD, Long V, Mouatt B, Walker ED, Gibbs MT. How do people with chronic low back pain perceive specific and general exercise? A mixed methods survey. Pain Pract. 2024 Jun;24(5):739-748. doi: 10.1111/papr.13354. Epub 2024 Feb 20. PMID: 38379359. Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Chris on Twitter: @chris_neason Claire on Instagram: @claire_thelowbackpain_ep Claire on Twitter: @claireLsamanna See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Dr John Kuhn, who is an orthopaedic surgeon and researcher from the United States. Doctor Kuhn and his colleagues, through the MOON shoulder group, have published several high impact studies investigating the management of individuals with rotator cuff tears and the results of these studies have caused some controversy (good controversy, that is). Rotator cuff tears are ubiquitous in musculoskeletal health care. They are both common and often burdensome, so it is important that shoulder surgeons and physiotherapists can agree on best practice management, for the betterment of the individual with the rotator cuff tear. So do John and I agree or not? Listen to find out. Don't miss this wonderful episode with Doctor John Kuhn. Key Papers: Kuhn et al; MOON Shoulder Group. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg. 2013 Oct;22(10):1371-9. doi: 10.1016/j.jse.2013.01.026. Epub 2013 Mar 27. PMID: 23540577; PMCID: PMC3748251. Dunn WR et al; MOON Shoulder Group. 2013 Neer Award: predictors of failure of nonoperative treatment of chronic, symptomatic, full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2016 Aug;25(8):1303-11. doi: 10.1016/j.jse.2016.04.030. PMID: 27422460. Kuhn JE et al. The Predictors of Surgery for Symptomatic, Atraumatic Full-Thickness Rotator Cuff Tears Change Over Time: Ten-Year Outcomes of the MOON Shoulder Prospective Cohort. J Bone Joint Surg Am. 2024 Sep 4;106(17):1563-1572. doi: 10.2106/JBJS.23.00978. Epub 2024 Jul 9. PMID: 38980920. Kuhn, 2023. Prevalence, Natural History, and Nonoperative Treatment of Rotator Cuff Disease Check out the Shoulder Physio Online Course here - 40% off for a limited time! Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 John's Research Gate profile See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Leanne Bisset, who is the queen of tennis elbow, seriously. Leanne is an associate professor at Griffith University on the Gold Coast, Australia with a keen interest in upper limb tendinopathy. Leanne also has extensive experience as a clinician, which makes Leanne a balanced voice of reason. Tennis elbow is a common and often debilitating musculoskeletal condition however it often receives insufficient attention compared to other, more sexy, tendinopathies. This episode will change that as we explore all dimensions of tennis elbow, from diagnosis to differential diagnosis to pain mechanisms and of course treatment. Don't miss this wonderful episode with Leanne Bisset. Key Papers: Leanne's google scholar profile Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Leanne on Twitter: @leannebisset See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Tim Gabbett, who is the training load master. Tim has an incredible resume as both a coach and scientist and recently featured in the top 10 of a list ranking sports scientists from around the world. In this episode, we go deep into the training load literature and what it may mean for the clinician and coach. We discuss the rise of 'load management' in the cultural zeitgeist and whether this is a good or bad thing. Tim discusses his principles of training load management and also responds to some challenges of his work. Don't miss this wonderful episode with Tim Gabbett. Key Papers: Gabbett TJ The training—injury prevention paradox: should athletes be training smarter and harder? British Journal of Sports Medicine 2016;50:273-280. Tim's google scholar profile Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Tim on Twitter: @TimGabbett Tim on Instagram: @gabbetttim See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Caitlin Jones, who has recently published a world first randomised placebo controlled trial in the Lancet journal on opioids for acute neck and low back pain. In this episode Caitlin discusses why they chose to do this trial, the results and their possible clinical implications. Caitlin also responds to various critiques of the trial with aplomb. Don't miss this enlightening episode with Caitlin Jones. Key Papers: Jones CMP et al. OPAL Investigators Coordinators. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial. Lancet. 2023 Jul 22;402(10398):304-312. doi: 10.1016/S0140-6736(23)00404-X. Epub 2023 Jun 28. Erratum in: Lancet. 2023 Aug 19;402(10402):612. doi: 10.1016/S0140-6736(23)01681-1. PMID: 37392748. Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Caitlin on Twitter: @caitlin_jones See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio Podcast, I am joined by Rachelle Buchbinder and Ian Harris. Rachelle and Ian are academic doctors who still see and treat patients whilst also conducting high quality research. This conversation centres around the concept that modern medical care is sick. Over-treatment, over-diagnosis, junk science, and perverse incentives are just some of the issues plaguing modern medicine. As it happens, Rachelle and Ian have written a book on this exact topic! The book is provocatively titled "Hippocracy: how doctors are betraying their oath" and is available at the link below. I hope you enjoy this episode. Key Resources: 1. Hippocracy: how doctors are betraying their oath. 2. Harris IA, Sidhu V, Mittal R, Adie S. Surgery for chronic musculoskeletal pain: the question of evidence. Pain. 2020 Sep;161 Suppl 1:S95-S103. doi: 10.1097/j.pain.0000000000001881. PMID: 33090742. Cliniko free trial, click here! Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Rachelle on Twitter: @RachelleBuchbin Rachelle on google scholar Ian on google scholar See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Kim Bennell, a professor and research physiotherapist from the University of Melbourne. Kim has been involved in designing and implementing dozens of clinical trials over her many years of research and is a true giant of the physiotherapy profession. In this episode we discuss something novel. We venture into the world of physiotherapists providing dietary advice for people with knee osteoarthritis, which might be controversial. Kim has just published a landmark clinical trial on this very topic. We also delve into exercise for knee and hip osteoarthritis and whether there is an ideal dose or adherence level that leads to superior clinical outcomes. This is based on a recent review and there is some surprising results. Don't miss this enlightening episode with professor Kim Bennell. Key Papers: 1. Allison K et al. Alternative models to support weight loss in chronic musculoskeletal conditions: effectiveness of a physiotherapist-delivered intensive diet programme for knee osteoarthritis, the POWER randomised controlled trial. Br J Sports Med. 2024 May 2;58(10):538-547. doi: 10.1136/bjsports-2023-107793. PMID: 38637135.2. 2. Lawford BJ et al. How Does Exercise, With and Without Diet, Improve Pain and Function in Knee Osteoarthritis? A Secondary Analysis of a Randomized Controlled Trial Exploring Potential Mediators of Effects. Arthritis Care Res (Hoboken). 2023 Nov;75(11):2316-2327. doi: 10.1002/acr.25140. Epub 2023 Jun 15. PMID: 37128836; PMCID: PMC10952828. 3. Marriott KA et al. Are the Effects of Resistance Exercise on Pain and Function in Knee and Hip Osteoarthritis Dependent on Exercise Volume, Duration, and Adherence? A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2024 Jun;76(6):821-830. doi: 10.1002/acr.25313. Epub 2024 Apr 15. PMID: 38317328. 4. Bailey DL, Holden MA, Foster NE, et al. Defining adherence to therapeutic exercise for musculoskeletal pain: a systematic review. British Journal of Sports Medicine 2020;54:326-331. 5. Nicolson PJA, Hinman RS, Wrigley TV, Stratford PW, Bennell KL. Self-reported Home Exercise Adherence: A Validity and Reliability Study Using Concealed Accelerometers. J Orthop Sports Phys Ther. 2018 Dec;48(12):943-950. doi: 10.2519/jospt.2018.8275. Epub 2018 Jul 27. PMID: 30053792. The Shoulder Physio Online Course is on sale for a limited time! Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Kim on Twitter: @kimbennell The Centre for Health, Exercise and Sports Medicine (CHESM): @CHESM_unimelb See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Amy McDevitt, an associate professor and clinician at the University of Colorado. Amy shared her perspective on manual therapy and the importance of unraveling the mechanisms behind this treatment approach.We discussed the evolving causal explanations of manual therapy, moving beyond antiquated notions towards a more contemporary and scientifically based explanation for how it many help people in pain.We delved into the complexities of how manual therapy works, from historical biomechanical viewpoints to more contemporary neurophysiological aspects. Amy highlighted the importance of considering contextual factors and therapeutic alliance, which may play a more significant role in patient outcomes than previously believed. Don't miss this enlightening episode that sheds light on the intricacies of manual therapy and the quest for a deeper understanding of how interventions work to benefit patients. Key Papers: 1. McDevitt AW, O'Halloran B, Cook CE. Cracking the code: unveiling the specific and shared mechanisms behind musculoskeletal interventions. Arch Physiother. 2023 Jul 6;13(1):14. doi: 10.1186/s40945-023-00168-3. PMID: 37415258; PMCID: PMC10327381. 2. Bialosky JE, Beneciuk JM, Bishop MD, Coronado RA, Penza CW, Simon CB, George SZ. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther. 2018 Jan;48(1):8-18. doi: 10.2519/jospt.2018.7476. Epub 2017 Oct 15. PMID: 29034802. 3. Silvernail JL, Deyle GD, Jensen GM, Chaconas E, Cleland J, Cook C, Courtney CA, Fritz J, Mintken P, Lonnemann ME. Orthopaedic Manual Physical Therapy: A Modern Definition and Description. Phys Ther. 2024 Mar 8:pzae036. doi: 10.1093/ptj/pzae036. Epub ahead of print. PMID: 38457654. 4. Powell JK, Lewis JS. Rotator Cuff-Related Shoulder Pain: Is It Time to Reframe the Advice, "You Need to Strengthen Your Shoulder"? J Orthop Sports Phys Ther. 2021 Apr;51(4):156-158. doi: 10.2519/jospt.2021.10199. PMID: 33789431. The Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Amy on Twitter: @awmcdevittDPT See our Disclaimer here: The Shoulder Physio - Disclaimer

Patello-femoral pain is a common, and at times, debilitating condition of the knee that can impact people across the lifespan. Professor Bill Vicenzino is a world leading expert on this topic and to that end I've enticed him onto the show to give us the ins and outs of this tricky condition. This is truly a must listen episode with a real pioneer of physiotherapy about a very common and important musculoskeletal condition. Key Papers: 1. Rathleff MS, Holden S, Krommes K, Winiarski L, Hölmich P, Salim TJ, Thorborg K. The 45-second anterior knee pain provocation test: A quick test of knee pain and sporting function in 10-14-year-old adolescents with patellofemoral pain. Phys Ther Sport. 2022 Jan;53:28-33. doi: 10.1016/j.ptsp.2021.11.002. Epub 2021 Nov 4. PMID: 34775189. 2. Powers CM, Witvrouw E, Davis IS, Crossley KM. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. Br J Sports Med. 2017 Dec;51(24):1713-1723. doi: 10.1136/bjsports-2017-098717. Epub 2017 Nov 6. PMID: 29109118. 3. Powers CM, Ho KY, Chen YJ, Souza RB, Farrokhi S. Patellofemoral joint stress during weight-bearing and non-weight-bearing quadriceps exercises. J Orthop Sports Phys Ther. 2014 May;44(5):320-7. doi: 10.2519/jospt.2014.4936. Epub 2014 Mar 27. PMID: 24673446. 4. Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier JF, Morrissey D, Callaghan MJ. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016 Jul;50(14):839-43. doi: 10.1136/bjsports-2016-096384. Epub 2016 Jun 24. PMID: 27343241; PMCID: PMC4975817. 5. Nimon G, Murray D, Sandow M, Goodfellow J. Natural history of anterior knee pain: a 14- to 20-year follow-up of nonoperative management. J Pediatr Orthop. 1998 Jan-Feb;18(1):118-22. PMID: 9449112. 6. Dye SF. The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clin Orthop Relat Res. 2005 Jul;(436):100-10. doi: 10.1097/01.blo.0000172303.74414.7d. PMID: 15995427. 7. Holden S, Matthews M, Rathleff MS, Kasza J; Fohx Group; Vicenzino B. How Do Hip Exercises Improve Pain in Individuals With Patellofemoral Pain? Secondary Mediation Analysis of Strength and Psychological Factors as Mechanisms. J Orthop Sports Phys Ther. 2021 Dec;51(12):602-610. doi: 10.2519/jospt.2021.10674. PMID: 34847699. 8. Robertson CJ, Hurley M, Jones F. People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study. Musculoskelet Sci Pract. 2017 Apr;28:59-64. doi: 10.1016/j.msksp.2017.01.012. Epub 2017 Feb 2. PMID: 28171780. The Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Bill on Twitter: @Bill_Vicenzino See our Disclaimer here: The Shoulder Physio - Disclaimer

When a patient comes to see a physiotherapist, or any health care professional, how much better does that patient need to get to make a treatment worthwhile? This is an important question because we're constantly making treatment recommendations to patients, day in-day-out, but based on what? My guest for this podcast, Harrison Hansford, reckons a lot of our treatment decisions should be made with consideration of something called the Smallest Worthwhile Effect, which is actually surprisingly easy to understand. Enjoy! Key Papers: 1. Hansford HJ, Jones MD, Cashin AG, Ostelo RW, Chiarotto A, Williams SA, Sharma S, Devonshire JJ, Ferraro MC, Wewege MA, McAuley JH. The smallest worthwhile effect on pain intensity of nonsteroidal anti-inflammatory drugs and exercise therapy for acute and chronic low back pain: a benefit-harm trade-off study. J Physiother. 2023 Oct;69(4):240-248. doi: 10.1016/j.jphys.2023.08.006. 2. Abdel Shaheed C, Mathieson S, Wilson R, Furmage AM, Maher CG. Who should judge treatment effects as unimportant? J Physiother. 2023 Jul;69(3):133-135. doi: 10.1016/j.jphys.2023.04.001. Epub 2023 May 30. PMID: 37263906. The Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Harrison on Twitter: @HJHansford See our Disclaimer here: The Shoulder Physio - Disclaimer

We're constantly told, even lectured, about the importance of exercise for most non-traumatic musculoskeletal pain presentations, shoulder pain included. We assume it works for all people across time and space, but is this true? Are there factors that might influence whether exercise will help an individual with shoulder pain or not? What are these factors and can we influence them? Listen on to hear Emily and Andrew from The Knowledge Exchange interview me about these very interesting questions. Key Papers: 1. Powell JK, Costa N, Schram B, Hing W, Lewis J. "Restoring That Faith in My Shoulder": A Qualitative Investigation of How and Why Exercise Therapy Influenced the Clinical Outcomes of Individuals With Rotator Cuff-Related Shoulder Pain. Phys Ther. 2023 Dec 6;103(12):pzad088. doi: 10.1093/ptj/pzad088. PMID: 37440455; PMCID: PMC10733131. The Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Emily on Instagram: @emwalker_exphys Andrew on Instagram:@navigatepainexphysio TKEX on Instagram: @theknowledgex Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Every iconic scientist has a quote emphasising the importance of uncertainty and doubt that underpins the scientific attitude. This holds true as much for fundamental physics and biological science as it does for health science, probably far more so in the case of health science. For we are complex, non-linear creatures, each with different stories, backgrounds, contexts and circumstances. Because of this, clinical uncertainty is ubiquitous, it's everywhere, but this should not paralyse us according to my guest on this episode, Nathalia Costa, PhD. Enjoy. Key Papers: Costa N, Olson R, Mescouto K, Hodges PW, Dillon M, Evans K, Walsh K, Jensen N, Setchell J. Uncertainty in low back pain care - insights from an ethnographic study. Disabil Rehabil. 2023 Mar;45(5):784-795. doi: 10.1080/09638288.2022.2040615. Epub 2022 Feb 21. PMID: 35188845. Costa N, Mescouto K, Dillon M, Olson R, Butler P, Forbes R, Setchell J. The ubiquity of uncertainty in low back pain care. Soc Sci Med. 2022 Nov;313:115422. doi: 10.1016/j.socscimed.2022.115422. Epub 2022 Oct 3. PMID: 36215924. Costa N, Butler P, Dillon M, Mescouto K, Olson R, Forbes R, Setchell J. "I felt uncertain about my whole future"-a qualitative investigation of people's experiences of navigating uncertainty when seeking care for their low back pain. Pain. 2023 Jul 20. doi: 10.1097/j.pain.0000000000002975. Epub ahead of print. PMID: 37478013. Gibson, B. E. (2016). Rehabilitation : a post critical approach. CRC Press. Paul Christiaan Beenen, Dario Filiputti, Erna Rosenlund Meyer, Lidia Carballo-Costa, Patricia Maria Duarte de Almeida, Antonio Alves Lopes, Joost Egbertus Jacobus Lidwina van Wijchen & Alexandre Castro Caldas (2018) Epistemic beliefs as a determinant in evidence-based practice in physiotherapy – a Multi-Country (Europe) Cross-Sectional Online Survey Study, European Journal of Physiotherapy, 20:2, 85-91, DOI: 10.1080/21679169.2017.1374454 Rocca, E., Anjum, R.L. (2020). Complexity, Reductionism and the Biomedical Model. In: Anjum, R.L., Copeland, S., Rocca, E. (eds) Rethinking Causality, Complexity and Evidence for the Unique Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-41239-5_5 Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Nathalia on Twitter: @nathaliaccosta1 Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Pilates exercise seems to help people with chronic low back pain...but how? What are the causal mechanisms underpinning the apparent effectiveness of Pilates? Does it activate the multifidus and transeversus abdominis muscles? Does it reduce fear and improve confidence? Both or neither? To shed some light on this question I have invited Lianne Wood on to the show, who, incidentally, has a paper on this very question! What a lovely coincidence. Key Papers: Wood et al 2023: Pain catastrophising and kinesiophobia mediate pain and physical function improvements with Pilates exercise in chronic low back pain: a mediation analysis of a randomised controlled trial Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Lianne on Twitter: @WoodwicksLianne Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

What exactly is a placebo effect? When you try and pin it down, it's confusing. Technically, it's something inert that produces an effect...how can there be an effect without a mechanism? Prof. Steve Kamper is here to help bring clarity to the issue. Key Papers: Kamper 2013: The placebo effect: powerful, powerless or redundant? Testa and Rossettini 2016: Enhance placebo, avoid nocebo: How contextual factors affect physiotherapy outcomes Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Steve on Twitter: @stevekamper1 Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Science is ubiquitous. But what is it? Everyone talks about science and the significance of being scientific but nailing down just what this means for clinical practice in physical therapy is somewhat elusive. To clear all this up, I'm joined by the Science Pt, Erik Meira. Erik is a sharp and eloquent communicator about science and its application to physical therapy. You don't want to miss this one. Key Papers: Powell JK et al. "Restoring that Faith in my Shoulder": A Qualitative Investigation of how and why Exercise Therapy Influenced the Clinical Outcomes of Individuals with Rotator Cuff-Related Shoulder Pain. Phys Ther. Cashin et al 2023 Mechanisms of exercise and education for low back pain Costa et al 2023 uncertainty in low back pain care Powell et al 2022 scoping review of exercise mechanisms for rotator cuff related shoulder pain Popper: The Logic of Scientific Discovery Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Erik on Instagram: @‌erikmeirapt Erik on Twitter: @‌erikMeira Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Exercise for knee osteoarthritis is a non-negotiable and effective intervention, right? Well, maybe it's not so clear. Evidence seems to be dropping every month challenging the privileged position that exercise occupies for managing knee osteoarthritis. Front and centre is the infamous DICSO trial, published in 2022, and this study will serve as the foundation for this debate. The debate features Marius Henriksen and Christian Barton and these two men engage in polite yet passionate intellectual battle with the aim of figuring out just what role exercise plays for managing people with knee osteoarthritis. Key Papers: Bandak et al 2022 DISCO trial Holden et al 2023 Exercise for hip and knee osteoarthritis Deyle et al 2023 physical therapy Vs corticosteroid for knee osteoarthritis What is the effect of saline injections for knee osteoarthritis Cochrane review exercise for knee osteoarthritis Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Marius on Twitter: @‌henriksen_mh Christian on Twitter: @‌DrChrisBarton Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Tendinopathy: Is it a simple case of tendon overload that can be fixed with eccentric exercise or friction massage? What's the deal with inflammation? Is there a role for adjunct therapies such as biologics and medications? Can physios, surgeons and sports physicians ever get along when it comes to managing tendinopathy? My guest, Professor Neal Millar is here to let you know. Key papers: Millar et al 2021: Tendinopathy Cook and Purdam Continuum Model of Tendinopathy Rees et al 2014: Tendons--time to revisit inflammation Millar et al: Interleukin 17A– a Translational Target to Treat Supraspinatus Tendinopathy Connect with Jared and Neal: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Neal on Twitter: @tendonglasgow Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Strengthening exercise is a popular and effective treatment for shoulder pain. But...is the benefit of strengthening exercise derived from getting stronger or are there other causal mechanisms underpinning the effect? Listen to find out! Key papers: Powell and Lewis 2021: Rotator Cuff–Related Shoulder Pain: Is It Time to Reframe the Advice, “You Need to Strengthen Your Shoulder”? Lewis and Powell 2022: Should We Provide a Clinical Diagnosis for People with Shoulder Pain? Absolutely, Maybe, Never! The Ongoing Clinical Debate Between Leavers and Retainers Hotta et al 2022: Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial Messier et al 2022: Effect of High-Intensity Strength Training on Knee Pain and Knee Joint Compressive Forces Among Adults With Knee Osteoarthritis: The START Randomized Clinical Trial Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Can we prevent injuries from happening? All of them? If we can't prevent ALL injuries should we move away from using the term prevention? Or is all this boring and irrelevant linguistic games that don't move the needle for clinical practice? I for one am fascinated by this discussion and I reckon you will enjoy it too. Franco, as always, has the ability to cut through fluffy opinions and statements with hardcore and unabashed science and I love it! Key papers: Prevention versus Risk Reduction or Mitigation Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Franco on Twitter: @francoimpell Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

In this solo episode I discuss the evidence underpinning the use of platelet rich plasma injections for shoulder pain. Platelet rich plasma makes total sense on the surface, but do empirical findings support this? Should we continue down the pathway of research for platelet rich plasma, or move on? Should you recommend it in your practice? What do you say if a patient asks you about it? These are some of the topics we tackle in this short primer on platelet rich plasma for shoulder pain. I hope you enjoy. Key papers: Platelet rich plasma: from basic science to clinical applications by Foster et al 2009 Efficacy of Platelet-Rich Plasma for the Treatment of Interstitial Supraspinatus Tears by Schwitzguebel et al 2019 Efficacy of Platelet-Rich Plasma for the Treatment of Interstitial Supraspinatus Tears: A Double-Blinded, Randomized Controlled Trial Treatment of Subacromial Impingement Syndrome: Platelet-Rich Plasma or Exercise Therapy? A Randomized Controlled Trial Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode I speak with eminent sport scientist and coach, John Kiely. John is infamous for challenging dogmatic training principles in sport science, chiefly periodisation theory. Our conversation starts with periodisation theory and then goes to some interesting locations, stopping momentarily at homeostasis, allostasis, general adaptation syndrome (GAS), predictive processing, the biomedical model, sets and reps and much, much more. If you prescribe exercise in any way, shape or form, please listen to this episode with the venerable John Kiely. Key papers: Periodisation theory: Confronting an inconvenient truth Periodisation paradigms in the 21st century: evidence-led or tradition-driven? Uncertainty and stress: Why it causes diseases and how it is mastered by the brain Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 John on twitter: @simplysportssci Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

An entrenched assumption in sport and exercise medicine/physiotherapy, going back decades, has been that ACL (anterior cruciate ligament) injuries DO NOT heal. Not ever. However, like many dogmatic beliefs in the health and fitness sector, this assumption appears to have been seriously wrong. Dr Stephanie Filbay joins me to discuss her latest paper about the healing capacity of the ACL and what this means for your clinical practice. Dr Filbay also teases some insights from the CROSS bracing trial, which is soon to be published. Be prepared to have some of your most tightly held beliefs seriously challenged in this episode. Key papers: Dr Filbay et al 2022. Evidence of ACL healing on MRI following ACL rupture treated with rehabilitation alone may be associated with better patient-reported outcomes: a secondary analysis from the KANON trial Dr Filbay Lancet paper Surgery or rehabilitation for anterior cruciate ligament injury: where are we now? The KANON trial by Frobell et al 2010 Stay tuned for the Cross Bracing Method Trail.... Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Steph on twitter: @stephfilbay Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Osteoarthritis (OA) is a leading cause of pain and disability. OA is also seems to be associated with several myths and misconceptions about how it is caused and how it might be managed. To cut through some of this mythology, I invited Professor David Hunter on the show for a 'no holds barred' conversation. David is the number 1 ranked expert in the world on OA, so it should come as no surprise he is a wealth of knowledge and a clear communicator on the complexities of osteoarthritis. I hope you enjoy. Key papers: The START trial for knee OA The IDEA trial David's Lancet paper on OA Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 David on twitter:@ProfDavidHunter Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

In this podcast, I discuss the scapula with Filip Struyf, PhD. Filip is a former guest on the show (episode 2) and I've pulled him back on the podcast to tackle the hard problems as they relate to the scapula. Specifically, in this episode we consider the question: "If we identify a scapula dyskinesis in our physical examination, should we attempt to rectify it?". Key Resources: Filip's fabulous 2013 paper here Connect with Jared and Filip: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Filip on Twitter: @Filip_Struyf Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

Feeling stiff is a familiar feeling for all of us. But does feeling stiff mean our joints are actually stiff? Or is there more to it. Tasha Stanton PhD is a clinical neuroscientist who has performed research directly addressing this question. This is a fascinating conversation and I hope you enjoy. Key resources: Tasha's paper here Connect with Jared and Tasha: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Tasha on Twitter: @Tash_Stanton Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

The Nordic hamstring exercise has enjoyed mostly good press with respect to injury prevention effectiveness. That is until recently. Professor's Franco Impellizzeri and Kristian Thorborg kindly and clearly join me in conversation to help us understand the evidence for and against this exercise. Key resources: Impellizzeri Meta analysis: HERE Ishoi and Thorborg response: HERE Van Dyk systematic review: HERE Connect with Jared, Franco and Kristian: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Franco on Twitter: @francoimpell Kristian on Twitter: @KThorborg Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer

I am joined by Connor Gleadhill to discuss causal inference. Connor is a PhD candidate exploring causal inference and is someone who speaks fluently about complex topics (must be the smooth Irish accent!). Causal inference is basically the pursuit of estimating how and why things happen. How do we determine causation - strictly through the randomised controlled trial or can we use observational evidence too? Can causal inference help us navigate a chaotic world? Key resources: COMPLEXITY: THE EMERGING SCIENCE AT THE EDGE OF ORDER AND CHAOS The Book of Why - Judea Pearl Hernan 2018 paper - The C Word Connect with Jared and Connor: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Connor's Email: connorgleadhill@gmail.com Connor's Website: http://www.connorgleadhill.physio Connor on Twitter: @CGleadhill See our Disclaimer here: The Shoulder Physio - Disclaimer

The biopsychosocial model is ubiquitous in modern health care but what is it at its core? Is it accurately described and used in research and clinical practice? To help make headway into these questions and more, I'm joined by Ben Cormack. Ben is a MSK therapist from England who has developed a special interest in the philosophy and implementation of the biopsychosocial in MSK health care. Key papers mentioned in the show: Engel 1977 paper Ben's upcoming paper on the BPS model: Cormack et al 2022 The biopsychosocial model is lost in translation: from misrepresentation to an enactive modernization. Physiotherapy Theory and Practice. Stilwell and Harman 2019 Enactivism paper Mescouto 2020 Critical review of the biopsychosocial model Gatchel 2007 The biopsychosocial approach to chronic pain Melbourne workshop details Melbourne Workshop, June 4, The Performance Centre Connect with Jared and Ben Ben on Twitter: @CorKinetic Ben on Instagram: @corkinetic Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

Cognitive biases are as much of a problem as they are fundamental to the human condition. They exist, but can we mitigate them? What common cognitive biases afflict health care? Jarod and Jared shoot the s**t around these interesting questions. Melbourne workshop details: Melbourne Workshop, June 4, The Performance Centre Jared Powell on Instagram: @shoulder_physio Jared Powell on Twitter: @jaredpowell12 Follow Jarod Hall on Instagram: @drjarodhallpt Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

In this episode I am joined by Scot Morrison to discuss the envelope of function model, as proposed by Scott Dye in the 1990s. The envelope of function has gained increasing acceptance over the past decade and I thought a deep dive into this concept was needed to highlight the potential pro's and con's of implementing this into clinical practice. Key resources: Scott Dye 1996 paper Mueller Physical Stress Theory Paper 2002 Melbourne workshop details: Melbourne Workshop, June 4, The Performance Centre Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Scot on Twitter: @scotmorrsn Scot on Instagram: @physio_praxis Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

Evidence changes and so should our beliefs. Peter O'Sullivan details his own radical change in beliefs and research agenda when it comes to low back pain and talks us through what instigated this about-face. Key Resources P2012 BJSM editorial: https://pubmed.ncbi.nlm.nih.gov/21821612/ 2018 CFT paper: https://academic.oup.com/ptj/article/98/5/408/4925487?login=false Lin 2020 paper: https://bjsm.bmj.com/content/54/2/79 Back pain myths paper: https://bjsm.bmj.com/content/54/12/698 Sydney and Melbourne workshop details: Sydney Workshop, May 14, The Sports Lab Alexandria Melbourne Workshop, June 4, The Performance Centre Connect with Jared and Peter Peter on Twitter: @peteosullivanpt Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

In this episode I am joined by Greg Lehman and Andrew Lock to discuss lifting technique/mechanics and it's relevance to low back pain/injury. The research in this area is inconclusive so I've brought Greg and Andrew on to clarify some contentious topics. Sydney and Melbourne workshop details: Sydney Workshop, May 14, The Sports Lab Alexandria Melbourne Workshop, June 4, The Performance Centre Connect with our Guests Andrew's Instagram handle is: @andrew_lock_strength Greg'sTwitter handle is: @greglehman Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

Pain is common and vital for survival. Chronic pain, though, is less vital and can significantly impact on the quality of life. Bronnie Thompson, PhD, believes it is possible to lead a fulfilled life in the presence of persistent pain. This is a must-watch/listen for all clinicians and even those who experience pain themselves. The paper we reference is listed below: Living well with chronic pain: a classical grounded theory Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Sydney and Melbourne workshop details: Sydney Workshop, May 14, The Sports Lab Alexandria Melbourne Workshop, June 4, The Performance Centre Connect with Jared and Bronnie Bronnie's Twitter handle is: @adiemusfree Bronnie's blog is: https://healthskills.wordpress.com/ Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

I had a conversation with the wonderful team at E3 rehab about the fuzzy and entrenched diagnostic label that is shoulder impingement. Over the 1 hour episode we discuss the history, inaccuracies and potential negative consequences of the term. This is a must listen if you've wondered why this term is controversial. Please refer to my accompanying Instagram post from February 27 for references mentioned in the episode. Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Sydney and Melbourne workshop details: Sydney Workshop, May 14, The Sports Lab Alexandria Melbourne Workshop, June 4, The Performance Centre Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Connect with E3 rehab: E3 rehab on Instagram: @E3rehab Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

In this episode I talk to Abby Tabor, PhD, on the interesting topic of predictive processing and how it may relate to understanding and explaining pain. Abby is a physiotherapist who has gone on to become a prolific researcher in the field of active inference/predictive processing. Abby is a product of Lorimer Moseley's lab in Adelaide, Australia and is a clear communicator on this complex topic. Reference to articles mentioned below: Pain: A Statistical Account Bayesian Learning Models of Pain: A Call to Action Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Connect with Jared and Abby: Abby on Twitter: @tabor_abby Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

In this episode Jared Powell discusses hamstring rehab with Jack Hickey, PhD. Jack is the author of a brilliant paper comparing pain threshold versus pain-free rehab for an acute hamstring injury, with surprising results. Read Jack's paper here. Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Connect with Jared and Jack: Follow Jack on Twitter: @jackhickey89 Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

Greg is a renowned physiotherapist and chiropractor and is well known for reconciling biomechanics with pain science, which, coincidentally, is the name of his course! We talk about pain, the nuances of it, and the potential simplicity in helping people with pain minimise suffering and disability. Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Connect with Jared and Greg: Greg can be found on Twitter at @greglehman Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

Do we NEED philosophy in health science? Dr Rani Lill Anjum makes a compelling case for YES in the latest episode of The Shoulder Physio Education Podcast. Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Connect with Jared and Rani: Follow Rani on Twitter: @ranilillanjum Rani's website: https://ranilillanjum.com/ CauseHealth website: https://causehealthblog.org/ Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

The topic of manual therapy and its role in physical therapy always elicits differences of opinion. In this episode, Adam Meakins and Chad Cook tackle the hard questions and attempt to clarify what manual therapy does (and doesn't) and where it fits into contemporary physical therapy care (if anywhere!). Want to see the conversation happen live? Check us out on YouTube. Connect with Adam, Chad and Jared: Adam on Twitter:@AdamMeakins Chad on Twitter: @Chadcookpt Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 References To download an infographic summarising the key points from this conversation, and the reference list, click here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.

In this episode, I talk with Kieran Richardson about some of the myths and misconceptions surrounding ACL injury of the knee. The ultimate question becomes: "is surgery a necessity after ACL injury"? Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Connect with Jared and Keiran: Kieran on Instagram: @global_specialist_physio Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast. References Frobell et al 2010 A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears https://www.nejm.org/doi/full/10.1056/nejmoa0907797 Filbay et al 2017 Delaying ACL reconstruction and treating with exercise therapy alone may alter prognostic factors for 5-year outcome: an exploratory analysis of the KANON trial https://bjsm.bmj.com/content/51/22/1622 Filbay et al 202232 Spontaneous healing of the ruptured anterior cruciate ligament: observations from the KANON trial https://bmjopensem.bmj.com/content/8/Suppl_1/A3.2 Kay et al 2017 A Historical Analysis of Randomized Controlled Trials in Anterior Cruciate Ligament Surgery https://pubmed.ncbi.nlm.nih.gov/29257011/ van Yperen et al 2018 Twenty-Year Follow-up Study Comparing Operative Versus Nonoperative Treatment of Anterior Cruciate Ligament Ruptures in High-Level Athletes https://pubmed.ncbi.nlm.nih.gov/29438635/ Ihara et al 2017 Influence of Age on Healing Capacity of Acute Tears of the Anterior Cruciate Ligament Based on Magnetic Resonance Imaging Assessment https://pubmed.ncbi.nlm.nih.gov/28045756/

In this episode, I discuss the scapula with Filip Struyf, PhD. We attempt to answer the measurement error question and how this influences everything thereafter! After all, if we can't accurately measure something it becomes impossible to prove the validity and lacks any utility in clinical practice. Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Want to see the conversation happen live? Check us out on YouTube. Connect with Jared and Filip: Filip on Twitter: @Filip_Struyf Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast. References McClure et al 2009 A Clinical Method for Identifying Scapular Dyskinesis, Part 1: Reliability https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657031/ Struyf et al 2013 Scapular-focused treatment in patients with shoulder impingement syndrome: a randomized clinical trial https://pubmed.ncbi.nlm.nih.gov/23053685/ Ellenbecker and Kibler et al 2012 Reliability of scapular classification in examination of professional baseball players https://pubmed.ncbi.nlm.nih.gov/22167659/ Andersson et al 2018 Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed https://pubmed.ncbi.nlm.nih.gov/28784621/ Moller et al 2017 Handball load and shoulder injury rate: a 31-week cohort study of 679 elite youth handball players https://bjsm.bmj.com/content/51/4/231 Wassinger et al 2015 CLINICAL RELIABILITY AND DIAGNOSTIC ACCURACY OF VISUAL SCAPULOHUMERAL MOVEMENT EVALUATION IN DETECTING PATIENTS WITH SHOULDER IMPAIRMENT https://pubmed.ncbi.nlm.nih.gov/26346446/ Rabin et al 2018 A positive scapular assistance test is equally present in various shoulder disorders but more commonly found among patients with scapular dyskinesis 10.1016/j.ptsp.2018.09.008 Wright et al 2013 Diagnostic accuracy of scapular physical examination tests for shoulder disorders: a systematic review 10.1136/bjsports-2012-091573 Burn et al 2016 Prevalence of Scapular Dyskinesis in Overhead and Nonoverhead Athletes A Systematic Review 10.1177/2325967115627608 Plummer et al 2017 Observational Scapular Dyskinesis: Known-Groups Validity in Patients With and Without Shoulder Pain 10.2519/jospt.2017.7268

I am joined by the venerable Jeremy Lewis, PhD, to discuss the clinical enigma that is frozen shoulder. This is a must watch for all clinicians who see people with a "stiff and painful" shoulder. Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in clinic improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Want to see the conversation happen live? Check us out on YouTube. Connect with Jared and Jeremy: Jeremy on Twitter: @jeremylewisPT Jared on Instagram: @shoulder_physio Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.