Physio Network

In this episode we discuss Dr Stacey Hardin’s research review of a Delphi study on return to play in long standing adductor related groin pain. We discuss the definition of long standing adductor groin pain and then go into depth of the return to play indicators/tests e.g. strength, performance testing and sport specific skills.  Stacey is a physical therapist and athletic trainer specialising in...

In this episode with Dr Matthew Bourne we explored how valid and relevant our hamstring clinical tests are and what we can do from a research and a clinic level. We then explored what exercises are beneficial and how to target different sections of the hamstrings. Dr Matthew Bourne is a Senior Lecturer in the School of Health Sciences and Social Work and the Menzies Health Institute Queensland at...

In this episode with Dr Noe Mkumbuzi, we explored how most research and literature is based on the caucasian male. We then went through the key points of her TEDx talk around how many socio-economic and cultural factors are missed in the research and in one-to-one consults. Noe ended this episode with some wonderful pearls and tips on how to have real and genuine conversations around these topics...

In this episode with Lucy Chipchase & Kerrie Evans we discuss the findings of their paper on New Graduate Mentoring Programs. They cover what style of learning the research has found is best, as well as balancing formal and informal reviews/check-ins as this is a delicate balance to help prevent burnout. Kerrie is a Group Education and Research Officer for Healthia Limited Australia. She is a...

In this episode with Mike Reinold, he shares his story from trainer to physical therapist to large facility owner and eventually, to working with the Chicago White Sox. Mike also discusses his work with specialised baseball athletes, the change in training trends over the years and also the change in injury rates over the years.  Mike Reinold, PT, DPT, SCS, ATC, CSCS, C-PS is a noted author, lectu...

In this episode with Shrey Vazir, he shares his personal and clinical journey with mindfulness. We cover how to broach the topic with patients and what approaches he has found work best and also cover some apps you can use for both yourself as a clinician and for your patients. Shrey is a Mindfulness Meditation Facilitator, Registered Physiotherapist and an educator specialising in chronic pain, s...

In this episode we debunk 5 key myths about sciatica. Luke walks us through each of these myths and how they have impacted his own clinical practice as well as referencing new research to support these claims. Much of the info from this episode is drawn from Paul Ingraham’s fantastic 100 chapter e-book on low back pain. You can get your hands on this book for free as part of our Christmas special...

In this episode, Claire Robertson shares with us just how much impact a ‘simple’ patellofemoral pain can have on someone including correlations to anxiety, depression and fear of movement. She shares wonderful tips on how to de-threaten the pain and the crepitus as well as going into how to best help new grads stay engaged for 30 years by evolving their practice. Claire has lectured internationall...

In this episode with Dr Kevin Wernli, we discuss the studies he was involved with on persistent low back pain. In particular, how a majority of peoples muscles activation and postures change from rigid and guarded to less fearful as they progress through a treatment journey. He also described the multiple things that he has noticed on a patients journey through a bout of physiotherapy. Do you want...

In this episode with Craig Lindell from The [P]rehab Guys we explored the journey of social media - how long it took and the commitment as well as answering the fundamental question… is it worth it? Craig gave thoughtful responses to the time commitment daily, weekly, monthly & yearly as well as some tips around paralysis analysis and how content CAN be done quickly. With the [P]rehab, Craig o...

In this episode with Dr Rich Willy we discuss how the evidence has really shifted on what causes ITB pain even down to the population and the anatomy and physiology of the structure. Rich then shows us based on the updated understanding how we need to modify our end stage rehab to help runners create more robustness and resilience in this area to help with prevention. Dr. Richard Willy is an Assis...

In this episode with Sam and Marc from E3 rehab, we talk about anterior pelvic tilt and posture - Does it matter? When does it matter? What if our patient believes it matters? They provide wonderful, nuanced examples of when they might explore it more or when they might make simple changes and more importantly the narrative around those changes or patient beliefs in a common sense way. Marc &...

In this episode with Angela, we discuss the current understanding of frozen shoulder, the categorisation and management of frozen shoulder in the different stages, as well as a comparison of Physiotherapy to supervised neglect. Dr Angela Cadogan is a registered Specialist Physiotherapist (Musculoskeletal) based in Christchurch, New Zealand. She has a PhD in musculoskeletal diagnostics (shoulder su...

In this episode with Dr Steven Duhig we explore what the cross bracing protocol for ACL healing is and the how and why Steven decided to choose this method for recovery. He discusses with us how he was the 42nd person to undergo this protocol and takes us through the rehabilitation that he undertook during the process. This episode is extremely informative about a new method of conservative ACL re...

In this episode with Mike Studer we cover the most common myths around concussion, particularly the early stage treatment and being too conservative with rest and protection. We then went through all the ways in which someone can be impacted by concussion and the 4 stimuli we can provide to help rehab patients and build a buffer going forward. Mike Studer practices in Oregon and has been a PT sinc...

In this episode with Dr Chen we discuss new diagnostic criteria of Hypermobility and Ehlers-Danlos Syndrome and how they live on a spectrum. We covered what to look out for both subjectively and objectively, as well as the common comorbidities that a patient could present with and how to manage these. Dr Chen completed her PhD at the University of Queensland in 2017 on neck pain in office workers....

In this episode with Dr Tim Mitchell, we discuss the nuance around diagnosis and when it is helpful and when it isn’t. We also covered how to actually articulate this to patients when they may want a diagnosis or if it’s important to them. Tim is a Specialist Physiotherapist with a clinical focus on the management of complex and chronic injuries and pain disorders. He has completed a PhD in the ar...

In this episode with Trish Wisbey-Roth, we cover the latest evidence in the assessment of SIJ and pelvic pain and how using clusters can help improve our specificity and sensitivity. She then covers how treatments in this area require starting at a low and more specific level than is commonly prescribed, and that a common mistake is progressing too quickly with these patients. Trish Wisbey-Roth is...

In this episode Kieran and James cover both the helpful and unhelpful shifts in the manual therapy narrative over the last 10 years. We then explore how it is possible to be evidence-based, practice in a biopsychosocial model, and use manual therapy. Kieran Richardson is a Specialist Musculoskeletal Physiotherapist who is passionate about patients undertaking physiotherapy rehabilitation to solve...

In this episode with Val Jones, we discuss the role that central sensitisation plays with a large majority of elbow pain patients. She then walks us through differential diagnosis and treatment of elbow pain with and without central sensitisation, and finally we discuss how treatment of elbow pain is much more global and complex than simply giving a patient wrist extension exercises.  Val has over...

In this episode, Dr James Noake discusses with us how adolescents with hip pain probably should be viewed with a different lens as compared to adults with hip pain. We break down the potential diagnoses for acute and gradual onset as well as discussing why we need a lower threshold of alert and imaging for these adolescent patients. Dr James Noake is a Consultant in Sport & Exercise Medicine w...

In this Episode with Dr Carlo Wood, we go through a clinically useful review of the anatomy and biomechanics of the ITB and how all of this relates to what he does clinically with a patient who has an ITB pathology.   Dr Carlo Wood MPT, PhD, OCS, APA Sports & MSK Physio, DNSP, FAAOMPT is the owner of Sports & Orthopaedic Physiotherapy in Napa Valley. His doctorate is in anatomy and he was...

In this Episode Dr Zach Long discusses the importance of technique for performance, pain and injury. We covered changing a patient's technique and more importantly how to do that, when to do that and what words we should use when we do. Dr. Zach Long is a physical therapist and CrossFit coach located in Charlotte, NC. He majored in exercise and sport science, before doing his doctorate in Phy...

In this episode with Dr Mariana Wingood, she shares with us the recommended guidelines for exercise in the aging population as well as patients and therapists beliefs around this. We also discuss how clinically she finds most older adults are under-dosed when it comes to exercise and she forces us to think about the message that we are sending these patients which is the real magic. Dr Mariana Win...

In this episode Dr Mikkel Bek Clausen takes us through his recent paper about the addition of a large dose of shoulder strengthening for subacromial impingement. We discuss in detail what muscle groups and exercises they studied and what has been shown to be the most effective for subacromial impingement. See a link to this paper here - https://pubmed.ncbi.nlm.nih.gov/34048281/ . See a link to Mik...