The Thrive Physio Podcast

This week Liam and Matt provide a summary for the series and discuss the key questions which will be leaving the show in future series. But, before they do, they were put out to the public so we share some of our favourite responses from our recent social media interactions! After Matt received some great feedback in person, as well as all of the online feedback we had earlier in the series, we rolled out some new emergency trauma scenarios, discussing processes ABCDE, distracting injuries and rare medical emergencies, we just hope that the ATMMIF police don't come down harder on us at our next reaccreditations! Finally we look to the future, with a break in the podcast coming over the next few months before we dig into some mini series, going into more depth on specific topics in the sports physiotherapy world! As always, please rate, like and subscribe! Follow us on Social Media @Thrivepes on all platforms. Our Website is www.thrivepes.co.uk where you can also contact us and find the podcast! A huge thank you to all of our guests to date and for all of you who listen and interact! Until next time!

This week we welcome our first student guests to the podcast as we approach the end of series 2! We wanted to quiz the guys on some of our usual key questions that we would usually pose to our qualified guests and see how things differ and what the perceptions of students currently embarking on their physio journey are! The guys are all attending the 4 year integrated physiotherapy and sport and exercise medicine masters. We discuss how the course is better equipped in preparing students for careers in sport, what lessons other courses and the physio profession could learn from courses that take this shape and how having a university based clinic gives excellent exposure to practicing students! If you want to hear more about the course or from Bradley, Connor and Lewis check our their podcast "The Student Physio Podcast" and their social media @uobphysiosoc for both Twitter and Instagram. As always we are @thrivepes and www.thrivepes.co.uk to check out info, blogs and the rest of the podcast, which can also be found wherever you usually get your pods!

This week we combine the usual physiotherapist or athlete guest role into one with Ellie Richardson who managed to balance a career as both athlete and physiotherapist. Ellie Cycled for Scotland at the commonwealth games as well as Team GB all whilst completing her physio undergrad and moving onto specialist postgraduate studies. Ellie takes on our key questions, giving some of the best answers we've had so far, before moving onto discussions about shoulder second opinions, Ellies own injury history and her changing perceptions of physiotherapy as both student, athlete and graduate. This is a unique insight to a rare career path in to specialist physiotherapy and one we think is extremely valuable to our listeners. In both managing athletes and being an advancing physiotherapist! For more catch us on twitter and instagram @thrivepes, check our website www.thrivepes.co.uk and you can get hold of Ellie at @els_richardson on twitter! Ellie's key reading paper is:

This week we welcome Jonathan Bell and Claire Robertson for an excellent discussion on everything Iliotibial Band related. The guys talk us through anatomy, presentation and typical management whilst debunking some common myths and misconceptions along the way. We cover some differential diagnoses and discuss outcomes as well as going into some excellent conversation about what to do when patients are not responding to conservative management. Injections, surgery, rehab, the guys have it covered, all whilst managing patient expectations and beliefs throughout the whole process. For clinical gems, this is not one to be missed! Claire can be found on social media @ClairePatella and her website is www.clairepatella.com Jonathan can be found on social media @bellkneesurgeon and his website is www.wimbledonclinics.co.uk, be sure to keep an eye out for an exciting mentoring platform created by Jonathan for the MDT coming very soon! Please do get in contact with us or the Jonathan and Claire if you have any further questions or even any patients you may feel appropriate for further discussion and management!

On this weeks episode we dance into the world of performing arts, theatre and television with sports rehabilitator Aisha James. Aisha takes us on a path a little different from our usual sports to discuss dance injuries and management, the pressure of working back stage at some of the UK's biggest shows and how this environment varies from your typical clinic or sporting environment! Aisha also talks a bit about her own research, whilst answering all our key questions and highlighting some really important research into injury occurrence and return to dance, which leads to discussion over factors like drug and alcohol use in athletes and how this can impact our roles. The research is: Novosel, B., Sekulic, D., Peric, M., Kondric, M., & Zaletel, P. (2019). Injury occurrence and return to dance in professional ballet: prospective analysis of specific correlates. International journal of environmental research and public health, 16(5), 765. And, Aisha's research is: Follow Aisha @AishaJames on twitter for more and if you have any questions we can be found @thrivepes on twitter and instagram *Liam and Matt refer to vocal treatment as coaching which is not correct and or part of Aisha's role, not to upset any vocal coaches out there!

We are back from a prolonged xmas break in which the world seemed to go mental. We briefly reflect on what working in sport and the private setting during the height of the pandemic looks like before tucking into some listener questions and Jam doughnuts. The questions are good and testing, but the Jam Doughnuts are not, following a recent cameo of one representing a intervertebral disc on prime time national tele. We discuss the issues events like this pose the profession and how progressive physios can approach it. Do we agree to disagree, be cruel to be kind or sit on the fence! Fear not, this is a short episode with just the two of us, where we announce some excellent upcoming guests, keep them eyes and ears peeled for more soon!

This week Lewis Kinsella discusses his career, injuries and management on the podcast! Lewis talks to us about his Injury history, good and bad management he has received throughout his career and the types of therapists that have helped him most. We talk about trust in the medical team and what students should expect entering new, scary dressing rooms! Lewis answers our key questions and as always, we think there is a lot to take from his advice! Let us know what you think on Instagram and Twitter @thrivepes

This week we welcome Physiotherapist and Nutritionist Ben Steele-Turner to the podcast! Ben shares his specialist knowledge and discuss similarities, differences and crossover between his two professions. We give a basic overview of how nutrition can be included within a therapists practice and where to signpost for further nutritional expertise! Ben also answers all of our key questions before we delve deeper into the nutritional aspects of injury and performance. Don't fear, if you feel your nutrition knowledge isn't a strong point this podcast serves as a great basic level intro. If you want to learn more or hear more from Ben follow him on @physiutrition on Instagram and check out his lecture on Trust Me Ed at https://trustme-ed.com/speakers/ben-steele-turner Bens recommended reading papers are: Lin, I., Rankin, A., Wiles, L., Waller, R., Goucke, R., Nagree, Y., ... & O'Sullivan, P. B. (2019). Infographic. 11 best practice recommendations for care in musculoskeletal pain. British journal of sports medicine, bjsports-2019. and Shaw, G., Lee-Barthel, A., Ross, M. L., Wang, B., & Baar, K. (2017). Vitamin C–enriched gelatin supplementation before intermittent activity augments collagen synthesis. The American Journal of Clinical Nutrition, 105(1), 136-143.

The second episode of the series brings you head of performance services and lead physiotherapist at GB Boxing Ian Gatt! We discuss the hand and wrist, concussion, evidence based practice and some specific case studies! The case studies lead us into discussion on outcome measures in the upper limb, when they are appropriate and how to utilize them well. Ian also answers our usual questions giving you an insight into what makes a successful sporting career!

We are back!!! And, this week we introduce the new series with a little catch up of working life under new covid restrictions. We then delve into how PPE is being used in sport and the management of injuries. Liam has just completed his Advanced Trauma and Medical Management in Football (ATMMIF), so Matt delves into what the course is like and how its changed since covid. Both go over some first aid emergency scenarios which are likely to come in the sport environment and on typical advanced first aid courses! As always, please rate, like and subscribe wherever you listen. Also let us know what you think of the podcast on any of our socials @ThrivePES Next we welcome Ian Gatt to the podcast, an episode not to be missed

The season finale is upon us and this week we answer your questions. A great variety of questions came in and we selected an eclectic mix to cover! From outcome measures, to weightlifting in adolescents, governing bodies around jobs, the biggest influences in our careers and much much more! We say thanks to our guests and reflect on the consistent themes and some of our favorite take away points from this season, whilst giving our opinions and answers to the key questions we pose to all of our guests! We hope you have enjoyed this series and this episode, where we give our relaxed take on the past 13 weeks, with no guest present make sure you tune in to see how we managed navigating a podcast without someone else to drop knowledge bombs! With Matt fresh off of holiday and Liam nursing man flu, the episode could have gone in many directions! As always your feedback is appreciated! let us know if you enjoyed the episode and series (or anything you didnt enjoy or agree with). We want to know how to improve for series 2 and the things we can do to get more great knowledge from incredible guests to a wider audience. Please follow, like and subscribe wherever you get your podcasts. Follow us on @thrivepes on all socials and email us on TPESCONTACT@GMAIL.COM ⁣

Jo Gibson joins us for this week's episode and we are delighted to have such a great educator, speaker and all round individual on the podcast as we approach the end of series one. Jo talks us through her career and entertaining conversion into the world of shoulders. Jo has also worked with the very best in sport and tells us about the challenges and positives of being a consultant physio in this environment. We also talk about the kinetic chain, motor cortex and rehabilitation, in relation to the shoulder of course! As well as a small case study scenario. Jo becomes the next guest to tackle our key questions where great communication becomes the hot topic of discussion! If you want to discuss anything in this podcast or leave us any feedback contact us on Twitter and Instagram @thrivepes or Jo @shouldergeek1

This week we have invited our first athlete to the podcast. The former England, Surrey and Essex cricketer, turned coach, Alex Tudor joins us to discuss his career, his injuries and his relationships with physiotherapists.  Alex's illustrious career has meant he has played with and against some of the best cricketers in the world, but also, due to injury, it has meant he has been managed by some of the best physiotherapists, doctors and surgeons in the world. Alex shares what these professionals did well, what some may not do so well and what helped him recover from injury and get back to performing at the top level.  Alex answers our usual key questions and gives a great insight in to the athletes perspective on these questions and many other things including why he is so thankful for the physiotherapists that he now see's as family. A real honest discussion about physios getting the credit they deserve and what it takes to be the best in the game for a true gentleman, not to be missed! Subscribe, rate and like the podcast wherever you are listening! And, make sure you follow us on all of our social media @ThrivePES. If you have any questions for us or Alex please get in touch via social media or TPEScontact@gmail.com

This week we welcome hip specialist physiotherapist Mehmet Gem to the podcast. After a few weeks of chatting around education, culture and MDT relationships we return to some clinical chat around Mem's specialist area of hips and specifically FAI. Mem has vast experience around this condition as both a patient and therapist! Mem gives us his recommended research around this area and he discusses a few other contentious FAI related topics, before taking on our weekly key questions and offering up some excellent advice for students and physios looking to get into sport physiotherapy and rehab environments! The Warwick agreement can be found here: https://bjsm.bmj.com/content/50/19/1169 You can find Mem @Mgemphysio on instagram and of course we are @thrivepes on instagram and twitter. Please rate, like and subscribe! All feedback is welcome, and once again thank you for the excellent support shown so far!

This week we welcome Jon Goodwin to the podcast to discuss everything sports science, strength & conditioning and the relationship with physiotherapists. Jon shares his experiences as a Sports Rehabilitation and Biomechanical Engineering MSc graduate, turned sprint coach and S & C coach, all whilst setting up and managing degree programs at St Mary's University. These experiences allowed Jon to give us some excellent advice, taken from years of being around multiple different academic and sporting environments, which students and graduates alike can apply to their studies, research and sporting practice! We then discuss Jon's venture to Saudi Arabia, where he helped set up their sporting institute, before returning to London and a role in Football, as a Head of Academy Sport Science. Jon answers all the weekly key questions and provides more insight into how we look at research and why we have to the question literature that is out there, all whilst looking at ways of progressing studies forward! Jon can be found on Twitter @johnnie_mechanic and we are on all our socials @ThrivePES if you have any feedback or questions for Jon and ourselves, do get in touch!

In this week's episode we welcome Adam Meakins to the podcast! Adam discusses his career pathway and experiences, taking on all of our questions. Adam shares his opinion on the state of education in the UK, how this could be improved and ways forward, encompassing governing bodies and CPD practices! We talk about questioning absolutely everything and how to do this in a beneficial way for our careers as sports physios and the specialism of sports physiotherapy itself. Strong and passionate opinions aplenty! As Adam says on his own podcast, if you're easily offended turn away now. Especially if you like balloons .... You can catch more from Adam on his socials @adammeakins or at www.thesports.physio where information about the better clinician project and other education tools are available!

On this weeks episode we speak to Strive 25's Nick Adkins. Nick is a coach working a Category 1 football academy, with previous experiences working at the Premier League and as a player himself. Nick shares his advice for physiotherapists building relationships with coaches and the wider sporting MDT. He gives a range of really useful tools and practical examples that someone transitioning into sport, whether it be from education or into a different role, can use to give themselves the best chance of thriving in what can be sometimes considered a harsh environment! Nick gives us his recommended reading which you can find below and he answers the key questions we put to all of our guests, touching on some really open and honest advice he would give to himself that we think everyone listening can take a lot from! Check out more of Nick and Strive 25's great initiative at www.Strive25.co.uk or @strivetwentyfive on Instagram and @strive252 on Twitter

Psychologist and top selling author Professor Damian Hughes is back for Part 2 of our 2 part special! Damian talks about Physiotherapists and the MDT's role in successful sporting cultures. Damian also shares his one key piece of research, which helps us understand cultures and what makes them successful! The paper looks at commitment cultures and Damian shares his experiences of investigating sporting giants who display them, discussing the likes of Sir Chris Hoy and FC Barcelona. You can read the paper Organizational identities and the hazard of change, by Hannan and Baron (2006) here: https://escholarship.org/content/qt2fb5q420/qt2fb5q420.pdf Make sure you listen to part 1 if you haven't already! Damian discusses embracing the journey through education and those early roles in his sporting career, learning from the mistakes he made and how he has reflected on these to improve his practice and mindset going forward.  Please rate, subscribe, download and leave us a comment! 

Psychologist and top selling author Professor Damian Hughes answers our key questions in Part 1 of our 2 part special! Damian discusses embracing the journey through education and those early roles in a sporting career, learning from the mistakes he made and how he has reflected on these to improve his practice and mindset going forward. Damian shares experiences of the high performing sport environments he has been involved with and uses some great anecdotes to expand upon his points, making this an educational and enjoyable listen for anyone pursuing a successful career in the wild world of sport! Make sure you catch Part 2 where Damian discusses more around culture and how physiotherapists, along with the wider MDT can help drive athletes and teams to higher levels, as well as more on how we can improve ourselves towards being successful. Damian also provides with his key piece of research that resonated with him most in his career. Both parts are not to be missed!

Reading FC First Team Physiotherapist Ray Holland speaks to us about his career working in academies and senior teams at varying levels of the football pyramid and how the experiences can differ, especially between academies and senior sides. We discuss how to go about seeking experience and then having the desire to take the next steps to gain and maintain a job in sport. We then reflect on the teams and networks we build around us to thrive in what can be sometimes daunting, competitive, sporting environments. As with all of our guests, Ray shares his top tip for getting into a career in sport as well as his key research paper recommendation that has helped define his practice, selecting a paper that focuses on pain and how it can be applied to acute injuries in the sporting setting. Bogduk, N., 2009. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain, 147(1), pp.17-19.

In part 2 of our chat with Stephanie Lazarczuk we ask Steph for her 1 key research recommendation that all therapists should read! We also discuss everything involved with the management and research surrounding Hamstring injuries. Stephanie's publications can be found below: Epidemiology of kicking injuries in professional rugby union 2020 - https://onlinelibrary.wiley.com/doi/abs/10.1111/sms.13737 Needs analysis of MMA 2018 - https://research.stmarys.ac.uk/id/eprint/2070/1/Lonergan-et-al-Needs-Analysis-of-Mixed-Martial-Arts.pdf Epidemiology of Injuries in West End Performers 2019 - https://pubmed.ncbi.nlm.nih.gov/31775951/ Rectus femoris mechanics in rugby kicking 2018 - https://commons.nmu.edu/isbs/vol36/iss1/191/ Others papers discussed throughout the pod can be found here: Matt Bourne 2016 paper - https://bjsm.bmj.com/content/51/13/1021.abstract Jack Hickey 2019 paper - https://www.jospt.org/doi/abs/10.2519/jospt.2020.8895 Rob Buhmann paper 2020 - https://journals.lww.com/acsm-msse/Abstract/9000/Voluntary_Activation_and_Reflex_Responses.96356.aspx John Orchard paper 2020 - https://bjsm.bmj.com/content/early/2020/02/05/bjsports-2019-100755

Stephanie Lazarczuk discusses her recent publication of research involving kicking injuries in professional rugby union. We also delve into how Steph's journey has taken her from a sports rehabilitation student, to a PhD student in Australia in just 10 years, all whilst working with sports teams from around the globe! Stephanie's publications can be found below: Epidemiology of kicking injuries in professional rugby union 2020 - https://onlinelibrary.wiley.com/doi/abs/10.1111/sms.13737 Needs analysis of MMA 2018 - https://research.stmarys.ac.uk/id/eprint/2070/1/Lonergan-et-al-Needs-Analysis-of-Mixed-Martial-Arts.pdf Epidemiology of Injuries in West End Performers 2019 - https://pubmed.ncbi.nlm.nih.gov/31775951/ Rectus femoris mechanics in rugby kicking 2018 - https://commons.nmu.edu/isbs/vol36/iss1/191/ Others papers discussed throughout the pod can be found here: Matt Bourne 2016 paper - https://bjsm.bmj.com/content/51/13/1021.abstract Jack Hickey 2019 paper - https://www.jospt.org/doi/abs/10.2519/jospt.2020.8895 Rob Buhmann paper 2020 - https://journals.lww.com/acsm-msse/Abstract/9000/Voluntary_Activation_and_Reflex_Responses.96356.aspx John Orchard paper 2020 - https://bjsm.bmj.com/content/early/2020/02/05/bjsports-2019-100755