Fergus Tilt, Sports Physiotherapist
Fit As A Physio
Sports and Exercise Physiotherapy conversations from Sydney, Australia.
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Autore
Fergus Tilt, Sports Physiotherapist
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Sito del podcast
Ultimo episodio
16 set 2026
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Episodi
Evidence-Based Management of Lateral Ankle Ligament Sprains 16.09.2026 53:43
PHYSIO MOSMAN: https://www.fitasaphysio.com/ REF: Managing ankle ligament sprains and tears: current opinion (R. P. McGovern & R. L. Martin, 2016) This professional review explores the pathology, diagnosis, and clinical management of lateral ankle ligament injuries and chronic ankle instability . The authors emphasise that accurate injury grading and the exclusion of differential diagnoses, su...
Surgical vs. Nonoperative Treatment of Achilles' Tendon Rupture 02.09.2026 38:33
PHYSIO MOSMAN: https://www.fitasaphysio.com/ REF: Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture (Myhrvold et al., 2022) This study investigated the effectiveness of nonoperative treatment compared to open-repair and minimally invasive surgery for patients with acute Achilles’ tendon ruptures . Researchers conducted a large randomized, controlled trial in Norway, tracking 526...
Decision-Making Experiences and Treatment Advice for ACL Injuries 17.08.2026 43:12
PHYSIO MOSMAN: https://www.fitasaphysio.com/ A mixed methods study exploring anterior cruciate ligament (ACL) injury treatment decisions from the perspective of 734 patients. (Filbay et al., 2025) This mixed-methods study investigates how Australians with anterior cruciate ligament (ACL) injuries make treatment decisions and the specific advice they receive from healthcare professionals . The rese...
The Myth of Spinal Load as a Cause of Pain 03.08.2026 35:47
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Insufficient Evidence for Load as the Primary Cause of Nonspecific (Chronic) Low Back Pain. A Scoping Review (De Bruin et al., 2024) This scoping review evaluates whether physical loading of the spine is the primary cause of nonspecific low back pain . By applying the Bradford-Hill criteria for causality to a wide range of medical literature, the resear...
Plantar Heel Pain 23.07.2026 39:23
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Physiotherapy management of plantar heel pain (Cotchett M, Morrissey D, 2026) The article presents a comprehensive clinical guide for the diagnosis and treatment of plantar heel pain (PHP) , integrating research data with expert and patient perspectives. It advocates for a stepped-care approach , beginning with a core treatment phase of stretching, tapi...
Biomechanical Risk Factors for Achilles Tendinopathy 06.07.2026 48:50
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This research examines the biomechanical and behavioral factors that contribute to the development of Achilles tendinopathy in both runners and non-runners. By monitoring a large cohort of over 900 participants for one year, the study identified that higher weekly running distances and specific movement patterns significantly increase injury risk. Speci...
Workload Spikes and Injury Risk in Elite Fast Bowlers 23.06.2026 43:04
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This study examines how sudden increases in training intensity impact the injury rates of elite cricket fast bowlers . Researchers tracked both internal workloads , based on athlete perception of effort, and external workloads , measured by the number of balls delivered. The findings reveal that when short-term (acute) workloads significantly exceed lon...
Protecting Hamstrings Through High Speed Exposure 11.06.2026 43:09
PHYSIO MOSMAN: https://www.fitasaphysio.com/ The Sprint Vaccine: Protecting Hamstrings Through High-Speed Exposure This academic review explores the critical role of sprint training as a preventative measure against hamstring strain injuries (HSIs) in professional soccer. It highlights that since most hamstring injuries occur during high-speed running, exposing players to maximal sprinting speeds...
Evolution of Running Footwear Paradigms and Injury Prevention Strategies 25.05.2026 1:09:10
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This review explores the evolution of running footwear design and its relationship to injury prevention and athletic performance. The authors examine four primary scientific paradigms— pronation control, impact force modification, habitual joint motion path, and the comfort filter —noting that historical methods like matching shoe type to arch height la...
Frozen Shoulder: What the World’s Largest Clinical Trial Reveals About Surgery vs. Therapy 12.05.2026 56:46
PHYSIO MOSMAN: https://www.fitasaphysio.com/ The UK FROST study was a multicentre randomised clinical trial conducted to determine the most effective treatment for adults suffering from primary frozen shoulder . Researchers compared three common interventions: early structured physiotherapy with a steroid injection, manipulation under anaesthesia , and arthroscopic capsular release . The trial fin...
Optimising Training Recovery Strategies for Endurance Athletes 29.04.2026 43:31
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This umbrella review by Li et al. (2024) evaluates the effectiveness of various recovery strategies specifically for endurance athletes, such as cyclists and runners. The researchers analyzed twenty-two systematic reviews and meta-analyses to determine if methods like compression garments, cryotherapy, massage, and nutritional supplements actually impro...
Evidence-Based Protective Strategies for Heading in Youth Football 14.04.2026 28:59
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Current medical research is investigating the long-term neurological risks associated with purposeful heading in youth and professional football. While football offers significant physical and mental health benefits, concerns persist regarding how repeated subconcussive impacts might affect the developing brain. In response, governing bodies have implem...
Why Exercise Heals Your Pain (Even When You’re Not Getting Stronger) 30.03.2026 39:45
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This editorial challenges the traditional belief that muscle strength gains are the primary reason exercise relieves musculoskeletal pain . While physical activity is highly effective for recovery, current research suggests that biomechanical changes often fail to explain why patients feel better. Instead, the authors highlight biopsychosocial factors ,...
The ACL Myth: Surgery Versus Rehabilitation 19.03.2026 40:40
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Surgery Versus Rehabilitation for ACL Rupture This living systematic review and meta-analysis evaluates whether early surgical reconstruction or primary rehabilitation —with the option of later surgery—offers better outcomes for anterior cruciate ligament (ACL) injuries . After analyzing data from multiple randomized controlled trials, the researchers f...
Everything You Knew About Stretching Might Be Wrong 02.03.2026 35:17
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Stretching: A Consensus Statement on Practical Recommendations This consensus statement provides evidence-based practical recommendations and standardized definitions regarding the diverse effects of stretching on human health and performance. Developed by a panel of twenty international experts using the Delphi method , the document clarifies that st...
Exercise for Depression and Anxiety: A Systematic Meta-Analysis 16.02.2026 42:32
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This meta-analysis synthesises evidence from numerous studies to evaluate how structured physical activity alleviates symptoms of depression and anxiety across various demographics. The research concludes that exercise is a highly effective intervention , often matching or surpassing the results of traditional medication and psychotherapy. While all for...
Can A Herniated Disc Heal? 04.02.2026 31:07
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Conservatively treated massive prolapsed discs: a 7-year follow-up This research investigates the natural history and recovery potential of massive lumbar disc herniations treated without surgery. By tracking patients over seven years, the study reveals that non-operative management is highly effective when early clinical progress is noted. Findings ind...
Why Back Pain Does Not Mean Damage 27.01.2026 30:53
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Recent highlights in low back pain research, Part I: Diagnosis and Prognosis This narrative review synthesizes recent research on the diagnosis and prognosis of low back pain , highlighting five core themes to assist clinical decision-making. The authors emphasize that serious spinal pathologies are extremely rare , suggesting that clinicians should eva...
A Simple Way to Stop Your Back Pain From Coming Back 04.01.2026 38:12
PHYSIO MOSMAN: https://www.fitasaphysio.com/ New Study Reveals a Surprisingly Simple Way to Stop Your Back Pain From Coming Back The WalkBack trial investigated the effectiveness of a walking and education program in preventing the return of low back pain. Researchers conducted a randomized controlled trial in Australia, comparing participants who received physiotherapy-led health coaching to a gr...
Ice for Sports Injuries? 17.12.2025 10:54
PHYSIO MOSMAN: https://www.fitasaphysio.com/ A 2024 critical review titled "Cryotherapy for treating soft tissue injuries in sport medicine" challenges the common practice of using ice for injury treatment. The authors conducted a systematic literature search, finding a significant lack of human studies that demonstrate a positive effect of cryotherapy on tissue regeneration, contrasting...
Achilles Tendinopathy: A Physiotherapy Framework for Recovery 10.12.2025 46:37
PHYSIO MOSMAN: https://www.fitasaphysio.com/ We discuss a comprehensive research review article from the Journal of Physiotherapy focused on the physiotherapy management of Achilles tendinopathy, covering both mid-portion and insertional types. The article provides an in-depth exploration of the condition's epidemiology, burden, and clinical course, advocating for a shift from a biomedical to...
Rotator Cuff Tendinopathy 04.12.2025 40:27
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Rotator Cuff Tendinopathy: Diagnosis, Care, and Rehabilitation Guidelines A recent article provides an evidence-based Clinical Practice Guideline (CPG) developed by an international expert panel focusing on the non-surgical diagnosis and treatment of rotator cuff (RC) tendinopathy. The guidelines emphasize that initial assessment must rely on a comprehe...
Frozen Shoulder: A Systemic Immunometabolic Disorder 25.11.2025 39:11
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This academic review re-examines Frozen Shoulder (FS) , traditionally seen as a localized orthopedic problem, by proposing an integrative systemic model linking the disorder to immunometabolic and endocrine dysfunctions . The central focus is on estrogen deficiency and resistance , noting the disproportionate effect of FS on perimenopausal and postmenop...
New Perspectives on Exercise for Knee Osteoarthritis 13.11.2025 56:13
PHYSIO MOSMAN: https://www.fitasaphysio.com/ New Perspectives on Exercise for Knee Osteoarthritis A narrative review published in the Journal of Physiotherapy summarises recent research concerning the exercise management of knee osteoarthritis (OA) between 2020 and early 2025. The authors identify and discuss six key themes addressing the effectiveness and uncertainties of exercise therapy for kne...
Single-Session Distance Spikes Predict Running Injury Risk 27.10.2025 28:04
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Single-Session Distance Spikes Predict Running Injury Risk An academic article, published in the British Journal of Sports Medicine, presents the findings of a large cohort study titled, "How much running is too much? Identifying high-risk running sessions in a 5200-person cohort study." This study explored the relationship between sudden inc...
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