Podcasts about physiotutors

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  

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  

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

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!

Whitney and Til dive deep into their differing (and shared) approaches to sacroiliac joint pain, pelvic anatomy, biomechanics, and much more, all in celebration of Whitney's recent SIJ article and Til's upcoming live-online hands-on training. NEW: check out the video of their conversation on Til or Whitney's sites:  Whitney Lowe's online Clinical & Orthopedic Massage Courses Til Luchau's courses at Advanced-Trainings.com  Resources: Article: “Current Concepts in Sacroiliac Joint Dysfunction” (free, registration required) Training: Ilia & SI Joints: Principles Free intro: Sep 28, first lecture: Oct 5, 2022 Review: the Hands at the Table podcast hosts dissect an AMT Principles course  Previous TTP SIJ episode: 3: Sacroiliac Joint Pain: Causes, Controversies, and Considerations  Whitney's references: Physiotutors web clip on Laslett SI joint test cluster: https://www.youtube.com/watch?v=g8txpsqHYpQ&t=197s Szadek KM, Hoogland P V., Zuurmond WW, de Lange JJ, Perez RS. Nociceptive Nerve Fibers in the Sacroiliac Joint in Humans. Reg Anesth Pain Med. 2008;33(1):36-43. doi:10.1016/j.rapm.2007.07.011 Bertoldo D, Pirri C, Roviaro B, et al. Pilot study of sacroiliac joint dysfunction treated with a single session of fascial manipulation® method: Clinical implications for effective pain reduction. Med. 2021;57(7):1-11. doi:10.3390/medicina57070691 Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com.  About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

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!

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!  

In dieser Folge waren Kai und Andreas zu Gast. Zusammen haben sie die Online Plattform Physiotutors gegründet. Sie leben und arbeiten in Amsterdam. Im ersten Teil des Podcasts sprechen wir über die Entstehungsgeschichte des Unternehmens und was es heute ist. Zudem reden wir über die Entwicklung, die die beiden gemacht haben. Teil davon sind ihr Studium und wie sich die Physiotutors über die Zeit verändert haben. Wir thematisieren auch Trends in der Physiotherapie und das Fortbildungssystem in Deutschland und den Niederlanden. Außerdem sprechen Sie über die größten Unterschiede in der deutschen und holländischen Versorgung von Patienten. Kai und Andreas haben außerdem in diesem Podcast bekanntgegeben, dass demnächst all ihre Inhalte auch auf Deutsch verfügbar sein werden! Ich rate euch dringend HIER mal reinzuschauen. Das Gespräch der Physiotutors mit Marcus Kinkelin von dem Körperwerk-Franchise findet ihr HIER. Viel Spaß beim Hören! Ich würde mich riesig über eine Bewertung bei Google Podcast oder Spotify oder einen Daumen hoch bei Youtube freuen. Schicke diesen Podcast auch gerne an Freunde. Philipp

In dieser Folge waren Kai und Andreas zu Gast. Zusammen haben sie die Online Plattform Physiotutors gegründet. Sie leben und arbeiten in Amsterdam. Im ersten Teil des Podcasts sprechen wir über die Entstehungsgeschichte des Unternehmens und was es heute ist. Zudem reden wir über die Entwicklung, die die beiden gemacht haben. Teil davon sind ihr Studium und wie sich die Physiotutors über die Zeit verändert haben. Wir thematisieren auch Trends in der Physiotherapie und das Fortbildungssystem in Deutschland und den Niederlanden. Außerdem sprechen Sie über die größten Unterschiede in der deutschen und holländischen Versorgung von Patienten. Kai und Andreas haben außerdem in diesem Podcast bekanntgegeben, dass demnächst all ihre Inhalte auch auf Deutsch verfügbar sein werden! Ich rate euch dringend HIER mal reinzuschauen. Das Gespräch der Physiotutors mit Marcus Kinkelin von dem Körperwerk-Franchise findet ihr HIER. Viel Spaß beim Hören! Ich würde mich riesig über eine Bewertung bei Google Podcast oder Spotify oder einen Daumen hoch bei Youtube freuen. Schicke diesen Podcast auch gerne an Freunde. Philipp

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 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!

Velkommen tilbage til podcasten. Denne gang til et spin off fra det forrige afsnit om svimmelhed (hvis ikke du har hørt det, så skynd dig at streame der hvor du finder dine podcasts). Øresten er den hyppigste årsag til vedholdende svimmelhed, men altimens svimmelhed forsaget af øresten er ufarligt, kan svimmelheden ikke altid bare afskrives. Derfor skal vi vide hvordan vi ser forskel. Det og Trunkal Ataksi ved Peter Tagmose Thomsen en del om. God fornøjelse. Head roll test https://www.youtube.com/watch?v=XSXwlUUpkow&ab_channel=Physiotutors Dix Hallpike test https://www.youtube.com/watch?v=7wMvTUPaNPo&ab_channel=Physiotutors Epleys manøvre https://www.youtube.com/watch?v=u23Wuj6zVLM&ab_channel=Physiotutors

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!

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 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 Physiotutors podcast I get to speak with Clint Wattenberg - Director of nutrition at the UFC performance institute & has previously worked as the head of sports nutrition at Cornell university as well as working with those with eating disorders! Today we talk about not only nutrition for the modern athlete, but also the effects of eating disorders on poor nutrition, diet choices, veganism, as well as what positive steps you can make when recovery from injury - soft tissue or otherwise - to help improve & boost the recovery process.  

In this episode of the podcast we're joined by Darren Burgess, current High Performance manager at Melbourne FC and former Director of High Performance at Arsenal FC as well as Liverpool FC. We get to talk to him about managing athletic performance at the highest levels of elite sport, how we can go about measuring both performance & recovery in our athletes for their readiness to perform as well as looking at how to manage their S&C work, pre/rehab work and how to balance all of that alongside getting players on the field for game time! Join us as we dig in deep on Darren's knowledge as a lecturer & researcher, and briefly touch on his own adventure into podcasting & more!

In this super sized episode of the podcast I sit down (twice so a small audio shift) with Ian Gatt - there was just so much for us to cover that we quite simply couldn't fit it all in to 1 recording, and we've still barely scratched the surface! We look at hand, wrist & elbow injuries in combat sports - Ian is the head physio for GB boxing, upper extremity specialist in the team GB Olympic physio team as well as Anthony Joshua's physio. We discuss assessment strategies, where importance within rehab should (or shouldn't) be, combining S&C with rehab, different treatments and much more! Ian is a gold mine of knowledge and I hope you enjoy listening as much as I did recording! 

In this edition of the podcast we talk with Filip Struyf to help clean up the murky waters around the shoulder complex and discuss why special tests may not be so special anymore - but may still have a place in your therapy! We also touch on how you can better direct your rehab and what elements are key for a positive outcome. Listeners of the podcast can also get €50 euro's off Filip's online course with the code RCRSP50 !

This time we speak to Paul Hobrough, a leading expert in shockwave, physiotherapist and educator on the topic. Paul has worked with some of the elites in sports and we talk to him on just how much the addition of Shockwave into his physiotherapeutic practise has helped boost positive outcomes for his patients and speed up recovery times in both acute and chronic pathologies. We also discuss where shockwave research is heading and the positive outcomes it has so far produced when used in neurological patients!! Listen in to find out more!

On This episode we talk with Enda Kind, a physiotherapist, S&C specialist, researcher and educator. We get to talk with him about what successful rehabilitation and return to sport/function entails, and how you can work on movement patterns, segmental control within the kinetic chain as well as tips on coaching your patients to optimise outcomes, and how treating just the pathology might be the reason why a patient might not be making the expected improvements - listen in to find out more!

Today on the podcast we're joined by the world renowned Jill Cook - an expert and leader in tendinopathy rehabilitation and research! We cover the basics that you should look out for - what's important in your screening and why exercise prescription is far and away the biggest aspect to successful rehabilitation for your patient - but making sure you're really rehabbing a tendon and not misdiagnosing! Tune in as we take a deep dive into educating your patients and your clinical practise!

!!PAIN SCIENCE IS NOT AN INTERVENTION!! But as physio's we can use our understanding to provide patients with ways they can better understand and manage their symptoms - and that's where this episode takes us with Lars Avemarie, a physio, writer & educator, from using the DIMs/SIMs model to fostering self efficacy, then we take a brief dive into what using an EBP approach actually means for you and where your clinical experience factors in! Lars guides us through some of his own patients to give us take aways we can apply directly into practise, tune in to find out more! 

"Don't just treat the site of the pain, treat the root cause". You've probably heard or seen this. On the surface, it sounds attractive - what could be more valuable than treating the cause, rather than the symptom? However on closer inspection it turns out that there are gaping chasms of faulty assumptions underpinning this idea. PLUS: Will strength training make me stiff? Pain linksA tailored exercise program to correct movement control impairment is no better than general exercise for people with low back pain https://www.sciencedirect.com/science/article/abs/pii/S1356689X15000223 (here) and again https://academic.oup.com/ptj/article/98/1/28/4107780?login=true (here) Most "abnormal" imaging findings are equally common in pain-free and painful shoulders https://www.sciencedirect.com/science/article/abs/pii/S1058274619302344 (here) IASP (International Association for the Study of Pain) definition of pain https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Pain (here) Short blog on the cup of resilience concept by Greg Lehman http://www.greglehman.ca/blog/2018/5/1/do-our-patients-need-fixing (here) A short video by Physiotutors on the cup metaphor https://youtu.be/xBckMqpI-fA (here) Raph explaining Adrian Louw's pain and resilience arrow diagram https://breathe.edu.au/a-useful-metaphor-for-pain-and-resilience/ (here) Psychological factors are the best predictor of the outcome of physiotherapy for people with shoulder pain here Psychological factors predict the transition from acute to chronic low back pain https://journals.lww.com/spinejournal/Abstract/2002/03010/A_Systematic_Review_of_Psychological_Factors_as.17.aspx (here) Stress is a better predictor of back pain than posture or spinal mobility (in fact people with low back pain lift with a more "correct" posture) https://www.sciencedirect.com/science/article/abs/pii/S002074890800312X (here) The fall of the postural, structural, biomechanical model https://www.sciencedirect.com/science/article/abs/pii/S136085921100012X (here) Louis Gifford Aches and Pains book https://giffordsachesandpains.com/book-sales/ (here) Understanding pain in less than 5 minutes video https://youtu.be/C_3phB93rvI (here) Flexibility linksStrength training increases flexibility https://osf.io/preprints/metaarxiv/2tdfm/ (here) and https://bjsm.bmj.com/content/46/12/838.short (here) and https://journals.lww.com/nsca-jscr/FullText/2010/11000/Influence_of_Moderately_Intense_Strength_Training.34.aspx (here) Increasing flexibility is probably less about changing physical properties of the muscle than it is about altering sensation https://academic.oup.com/ptj/article/90/3/438/2737895?login=true (here) Long-term stretching doesn't change the mechanical properties of muscles or tendons https://onlinelibrary.wiley.com/doi/abs/10.1111/sms.12957 (here) and https://www.sciencedirect.com/science/article/abs/pii/S0268003314000989 (here) or neural drive to the muscles https://journals.humankinetics.com/view/journals/jsr/21/2/article-p99.xml (here) Elite powerlifters have tight shoulders and mobile hips https://journals.lww.com/nsca-jscr/Abstract/2018/11000/Range_of_Motion_Adaptations_in_Powerlifters.4.aspx (here) Connect With Us On InstagramCloe https://www.instagram.com/cloebunterpilates/ (@cloebunterpilates) Raphael https://www.instagram.com/the_raphaelbender/ (@the_raphaelbender) Come Study With UsOur training is 100% online - you can study from anywhere in the world Certificate IV in Pilates Matwork and Reformer https://breathe.edu.au/certificate-iv-pilates/ (here) Diploma of Clinical Pilates https://my.captivate.fm/here (here) This podcast uses the following third-party services for analysis: AdBarker - https://adbarker.com/privacy

In a Physiotutors first, we were lucky enough to have Paul Venner live with us at the Physiotutors HQ to discuss Ultimate Instability - a tool used worldwide in elite sport and rehabilitation centres around the globe. In addition we talk to Paul about his approach to training with athletes - training methods and approaches that he utilises with Olympic athletes leading to increased learning speed and skill development with the utilisation of the Frans Bosch method! Tune in to find out more! 

This episode is a little different to the norm - I talk to both Molly and Natasha about concussions and their varied experiences on rehab from the patients perspective and the clinicians - what skills can help you stand out in the crowd and where the soft skills become invaluable in helping your patient deal with their injury. We also discuss their upcoming concussion call and the relevance for both clinicians to improve their understanding and shape their practise and those living with concussions on how to better deal with potential complications as well as dealing with the holidays!

This time on the Physiotutors podcast we talk with Brodie Sharpe, the host of the Run Smarter podcast, a physiotherapist and a running enthusiast himself. We discuss running related injuries and the importance of recovery - this is also the topic of this upcoming month for the Run Smarter podcast - the importance of recovery! On this episode we look more specifically at when to and not to rest, the importance of a good balance between S&C, running and rest and how this can combine to produce positive outcomes for your patients.

This time I chat with Ryan Timmins to discuss his work in hamstring injury research, a senior lecturer and researcher with well over 50 publications to date, we pick his brain and get his take on current literature research and we should be taking forward to our patients. We discuss injuries and return to sport, and talk about how we can optimise hamstring regrowth following ACL surgery (from a hamstring/hamstring + gracilis graft. We then get into training volumes and loads pre season and during to optimise injury prevention and compliance! Tune in to find out more!

This time I get to chat with Anthony Teoli to discuss knee OA, an educator and physiotherapist specialising in knee OA. We discuss the signs and symptoms we as physios should look for and how we can help our patients. We discuss the benefits of exercise therapy and tailoring your approach for your patient to ensure their compliance with, and engagement with the program!

In this edition of the Physiotutors podcast we talk with Kjartan Fersum about cognitive functional therapy (CFT) and how he integrates that into his daily practise, utilising it with chronic and acute pain patients to help them navigate their problems and it's role within physiotherapy. Kjartan provides us with methods you can easily take into your daily practise to improve your communication with your patient as well as help the progress on their journey of rehabilitation, stepping out of the "I will fix you" mentality and more into a therapeutic alliance *with* the patient.

In this episode of the Physiotutors podcast we talk to Natasha Wilch as a follow up to our previous podcast on concussions. We discuss paediatric physiotherapy, rehabilitation and her personal experience utilising concussion prehab exercises! Return to play (RTP) as well as returning to different levels of activity were hot topics during this talk! We discuss what happens when the body systems compensate, masking deeper problems as a result of the concussion and how important it is to identify this. In addition we talk about the necessity of an MDT approach for those with concussions and briefly touch on CTE and the dangers surrounding that. Tune in to find out more!

In this episode of the Physiotutors podcast we talk to Molly Parker about concussions, concussion management, rehabilitation and her personal experience as a physio who's a patient with a concussion. We discuss the dangers of concussions going undiagnosed and the drastic affect this can have on your body and ability to function. We dive a little into the pathophysiology and perhaps more importantly, how imperative it is to make sure you have the right healthcare professionals involved in rehabilitation, not just physiotherapists. We highlight some of the differences someone may face with an acute concussion and also with prolonged concussion symptoms. Tune in to find out more!

In this edition of the Physiotutors podcast we talk with Mark Laslett about diagnostics and it's role within physiotherapy, how treating it as a distinct science can help improve your practise. In addition to this we discuss lower back pain and sacroiliac joint issues. Talking with Mark you can feel his passion for physiotherapy and over 50 years of experience both in clinic and conducting research. Mark talks us through some of the research he has conducted and the impact it has had on his practise! 

In this episode of the Physiotutors podcast we talk to Jarod Hall about pain, pain management and effective communication with your patients. We discuss a few methods that you can take directly into practise, addressing not just the "what to say" but also ways in which you can frame your conversations and approach with patients when discussing their pain. As well as this, we touch on pain science and how it's use as an "intervention", although with the best of intentions, has been misused or misinterpreted by therapists as a basis for treatment. Tune in to find out more!

In this episode of the Physiotutors podcast we talk to Nick Rolnick about Blood Flow Restriction (BFR), the evidence behind it and why it can prove to be an invaluable tool for patient rehabilitation right across the board! We discuss how to effectively utilise BFR as well as parameters to utilise for patients post operation, how it can be beneficial in geriatric rehabilitation as well as helping gain an extra edge in general training too. Tune in to find out how you may be able to utilise BFR to help your patients speed up their rehab!

In this edition of the Physiotutors podcast we welcome back Glen and Ben to discuss chronic hip complaints - that's those folks who have been dealing with their issues for three months or longer. We cover aspects of conservative treatment to avoid surgery as well as discussing what aspects of a patients' complaints may warrant further investigation with surgery as a potential outcome! As well as this we look at different assessment methods you can utilise when confronted with patients suffering from chronic hip complaints.

In this edition of the Physiotutors podcast we talk with Nick Hannah about the biopsychosocial model of physiotherapy. We cover what the biopsychosocial model includes, how to implement it and topics such as tackling belief systems, how to approach the subject of pain with a patient as well as talking about our personal learning moments with patients where things took a less than desirable outcome! 

In this episode of the Physiotutors podcast we talk to Ben and Glen about running related injuries, and how to help prep any patients of yours you may have preparing for upcoming marathons. We discuss how to approach your assessment strategy, key signs to look out for, and different approaches on how to help get your patients fit, healthy and ready to hit the pavement again without issues or re-injuries.

In this edition of the Physiotutors podcast we talk with Rob Sillevis about manual therapy covering manipulations and the affect on the body, talking about the research he has conducted on the autonomic nervous system in response to manipulations. We also discuss how manual therapy should be used as an adjunct to patient treatment, and not the sole component of a patient's treatment plan.

In the third installation of the Physiotutors podcast, we talk about Hoffa's fat pad complaints and rehabilitation with one of the leading physiotherapists in the patellofemoral pain syndrome and Hoffa's fat pad complaints - Claire Robertson. We discuss how her research has helped outcomes of her patients who are often referred to her by other therapists due to her expertise in treating this patient category.  In addition we touch on what she believes are areas that can be frequently overlooked for patients during their recovery by therapists, and even what clues therapists miss during the patients initial presentation of their symptoms. We also touch on the importance of treating the person and not just the condition. 

In the second installation of the Physiotutors podcast, we talk about ACL rehabilitation with one of the leading physiotherapists in the field of ACL rehab - Bart Dingenen. We discuss how his research has helped to develop the post-op outcomes of his patients. In addition we touch on what he believes are areas that can be frequently overlooked for patients during their ACL recovery by therapists. As well as this, we also discuss external cueing and the impact this can have. 

In this very special first addition of the podcast, we take the opportunity to sit down with Kai and Andy to talk about their respective journey's into physiotherapy and consequently the formation of the Physiotutors as you and I know them today.

In this episode, I sit down with Kai & Andreas of the Physiotutors. If you're a student currently, there's a good chance that you may have already heard of them. They're known mainly for their Youtube channel where they provide high quality videos about special testing for physical therapists and more. I think I speak on behalf of all PT students when I say they've been a huge help for me so far in school and their videos are perfectly easy to follow. I had the opportunity to ask them about what brought them to physical therapy and what started the Physiotutors. We also discussed some of the common struggles PT students face and how they would approach those situations, as well as why they decided to leave Germany to pursue Physical Therapy. If you're a fan then you're going to really enjoy this episode. If you don't already follow them, be sure to check out Physiotutors on: Youtube, Twitter, Instagram, Facebook and their Website As always you can follow me on Instagram @thehaloeffectpodcast or email me suggestions at haloeffectpodcast@yahoo.com and please be sure to SUBSCRIBE and give a RATING! I really appreciate the support. What's Physical Therapy like in Germany? https://www.youtube.com/watch?v=CyMlmBxud0w --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/the-halo-effect-podcast/support

In this episode we chat with the co-founders of Physio Tutors, Andreas Heck and Kai Sigel, about how and why they started Physio Tutors during PT school, their experiences in PT school in Amsterdam, tips for current SPTs, and more! Check out their website here--> https://www.physiotutors.com/ All social media handles @physiotutors GRADitude Scholarship Fund: https://www.gofundme.com/graditude-podcast-student-scholarship --- Support this podcast: https://anchor.fm/graditude/support

Episode 51 is fully brewed! On this episode we sit down with Andreas and Kai of the Physiotutors. These guys have saved us on multiple occasion in your PT school career so it was awesome to sit down with them over a cup of coffee! On this episode we talked about why they started their channel, how they developed into a business, why it’s important to have a passion, and much more! If you have not heard of the Physiotutors before we suggest you check them out on YouTube and all other social platforms. You can listen to the episode on iTunes, Google Podcast, and Spotify. If you enjoy this episode could you please help us out by subscribing, dropping a review on iTunes, and sharing this episode with one other person. Your feedback and support mean the world to us! Physiotutors Website:https://www.physiotutors.com/ Facebook:https://www.facebook.com/Physiotutors/ Instagram: https://www.instagram.com/physiotutors/ T witter: https://twitter.com/physiotutors?lang=en *** Andreas and Kai were kind enough to offer our listeners a 10% discount on their assessment ebook if you use the Promo Code “mvmt” at checkout!*** https://www.physiotutors.com/product/assessment-book/ Physio Network Instagram: https://www.instagram.com/physionetwork/ Facebook: https://www.facebook.com/thephysionetwork/ *** To start your 7 day free trial click the link below*** https://www.physio-network.com/research-reviews/#a_aid=tmpts&a_bid=0942bcda Follow us! @themvmtpts Website: https://www.themovementphysio.ca/ Join The Movement Monday Team: http://eepurl.com/gX_1mz Facebook: https://www.facebook.com/themvmtpts/ Instagram: https://www.instagram.com/themvmtpts/ Podcast: https://itunes.apple.com/us/podcast/ptcoffeecast/id1336306312?mt=2 Email: themovementpts@gmail.com

Live from Amsterdam! (Well, kinda....) This week Tyler & Jared chat with Kai Sigel, PT BSc (hons.) & Andreas Heck, PT BSc (hons.) who are THE PHYSIOTUTORS!! We're so grateful to chat with these gentlemen as their videos have saved our asses so... --- Send in a voice message: https://anchor.fm/duck-legs/message Support this podcast: https://anchor.fm/duck-legs/support

In Part 2 of our episode with the Physiotutors [Kai Sigel, PT BSc (hons.) Andreas Heck, PT BSc (hons.)], the YouTube legends enlighten Tyler & Jared on:binge watching your own content, what it takes to create over 400 YouTube videos, how it feels to... --- Send in a voice message: https://anchor.fm/duck-legs/message Support this podcast: https://anchor.fm/duck-legs/support

They have over 100,000 subscribers on YouTube, over 80,000 followers on Instagram and about 90,000 people following them on Facebook. Physiotutors is undeniably one of the fastest growing online healthcare communities out there, and they’re joining us this week to share some lessons about how to grow your online community.This episode is an absolute gold mine. Check it out below!QUOTES FROM THIS EPISODE“The basic rule is that you have to put out content that is really interesting and valuable for your followers, and it has to be continuous uploads and posts.”“Your best post is your next post. Don’t dwell on one piece of content too long. Put it out there, receive feedback from the community.”“The quality of the community is way more important than the size.”“It’s like everything in life - [content marketing] is a marathon. It’s like going to the gym - you have to put in the work and you have to have patience.”MENTIONSGrow My Clinic online coursePhysiotutorsPhysiotutors (FB page)Physiotutors (IG)Physiotutors (Twitter)CanvaSHOW NOTES[0:00:54.9] How the Physiotutors came to be and what they do to serve the community[0:07:22.6] Size and scale of the Physiotutors community[0:08:47.3] Demographics: Who tunes in to Physiotutors’s content?[0:11:11.2] Lessons in building an online community: marketing, content production, etc.[0:12:42.9] Why you should keep creating content even if no one’s noticing it[0:17:38.3] Staying up with the research as health professionals, and turning that knowledge into new content[0:20:28.8] Consistency over perfection[0:26:43.4] Turning your clients’ questions into a piece of content[0:30:48.1] What’s next for Physiotutors?[0:34:27.5] Check out Physiotutors!If you like this episode of the Grow My Clinic podcast, please don't forget to like, share, comment, and give us your ratings on iTunes and Stitcher. We appreciate your support and feedback!

Andreas Heck und Kai Sigel die Inhaber von Physiotutors haben mir die Ehre erwiesen sich meinen Fragen zu stellen. Beide habe Ihren Bachelor an der ESP in Amsterdam erfolgreich abgeschlossen und sind gerade an ihrem Master dran. Während ihres Studium hatten sie eine starke Idee. Assessments zu Kategorisieren, Standardisieren und auf Video aufzunehmen. Wer heute ein Assessment sehen möchte kommt an den Videos dieser beiden Jungtalente nicht vorbei. WIr haben über die Physiotherapie gesprochen und die Symbolkraft von Assessments! Hört rein und lasst euch überraschen. Wenn euch das Projekt gefällt, könnt ihr es abonnieren . Zudem findet ihr mich auf: Facebook, https://de-de.facebook.com/FGPTP/ Twitter: https://twitter.com/fgptp Itunes: https://itunes.apple.com/ch/podcast/first-german-physiotherapy-podcast/id1422104391?l=en Castbox: https://castbox.fm/channel/First-German-Physiotherapy-Podcast-id1113017?country=de Physiotutors Visit our Website: http://bit.ly/web_PT Like us on Facebook: http://bit.ly/like_PT Follow on Instagram: http://bit.ly/IG_PT Follow on Twitter: http://bit.ly/Tweet_PT Snapchat: http://bit.ly/Snap_PT Quelle https://www.ncbi.nlm.nih.gov/pubmed/23265661

You asked, they answered! Three top pain scientists - Prof Lorimer Moseley, Dr. Tasha Stanton, Dr. David Butler - answer your burning questions about pain science. This episode is live from the Pain Revolution event in Australia. Thank you to all who contributed questions and special thanks to the online communities who collaborated with us to make this podcast possible: Trust Me I'm a Physiotherapist, PhysioTutors, Rethinking Physiotherapy, GetPT1st, InfoPhysiotherapy and Exploring Pain Science. Check them out on Instagram, Facebook, and Twitter.   00:30 What is pain? 01:24 What do you tell a patient who answers you "So it's just in my head?" 02:07 How can we change people's general knowledge (before they become "patients") about pain and pain management? 03:09 What metaphors and analogies do you use with your patients? 04:38 How much is it possible to deliver in a 20-minute clinical education setting? What would you focus on? 05:37 What are some exciting new advances in pain science that you think will impact clinical practice in the near future? 06:22 What is one piece of advice you would give to someone suffering from persistent pain? 07:11 Those of us in the profession like to dig deep in the science and research, but what the overall public is interested in is far more practical - what can we do? Data alone hasn't convinced many, how can we better explain what's going on in a simple, understandable way? 09:24 What are some exciting new advances in pain science that you think will impact clinical practice in the near future? 10:43 What are the biggest barriers in making physio and pain management move forward? 11:56 How do you see the role of manual therapy in both acute and persistent pain - assuming an ethical and accurate explanation (as opposed to a PSB model approach) 13:35 What is the most effective way to implement a pain science approach in chronic regional pain syndrome (CRPS), and how should medications be used during implementation? 16:44 What can you tell us about pain thresholds? Could a pain threshold be more about coping/ pain tolerance or is there an actual inter-individual difference on a neurological level, such as our perception, or even a nociceptor level? 18:45 Does the health industry need to change the way it understands and treats pain? if yes - what are your suggestions? 21:18 With the biopsychosocial model, there is often a focus on the psychosocial factors, where does the bio fit into all of this? Where does it come into play or are they thought of very separately? 23:09 How do you explain pain to an uneducated patient who thinks treatment is a quick fix? My challenge is breaking down the information simply enough for such patients to understand. 24:48 What changes do you think healthcare professionals need to institute in the treatment of acute pain, in order to help prevent transition to chronic pain states? 26:29 What is your go-to one liner to explain Central sensitization to your chronic pain patient? How do you explain this on day one without loosing the patient? 29:37 Please explain fibromyalgia. 31:10 How does stress and emotion contribute to pain manifestation at different sites? 34:14 Mindfulness, how can it be used to work with people’s pain management/ perception? 36:32 I want to hear their answer on a question asked by Mick Thacker: If pain is a perception, then how does the neuro-physiology involved go on to be become a higher centre cognitive function? 40:13 Children who fall over in the playground experience a broad range of responses from their parents ranging from a "toughen up" type of indifference right through to overt and excessive concern. How might these parental responses (among others within a family) shape a developing child's ongoing pain experience that might persist into adulthood? 44:06 Medicinal marijuana for pain? Have any of you studied cannabinoid receptor anatomy and physiology or anandamide physiology and their role in pain?