Fergus Tilt, Sports Physiotherapist
Fit As A Physio
Sports and Exercise Physiotherapy conversations from Sydney, Australia.
Author
Fergus Tilt, Sports Physiotherapist
Category
Podcast website
Latest episode
Jul 6, 2026
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Episodes
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...
Ruptured Achilles Tendon: A Guide to Your Treatment Options 23.10.2025 12:49
PHYSIO MOSMAN: https://www.fitasaphysio.com/ These sources consist of a multicenter, randomized, controlled trial and two systematic reviews/meta-analyses , all focusing on the optimal treatment for acute Achilles’ tendon rupture (ATR). The randomized trial found that surgery ( open repair or minimally invasive surgery ) did not yield better patient-reported outcomes than nonoperative treatment at...
Best Glute Exercise 15.10.2025 13:51
PHYSIO MOSMAN: https://www.fitasaphysio.com Gluteus Maximus Activation During Strength Exercises: A Review These sources primarily examine the effects of hip-extension exercises, such as the hip thrust (HT) and glute bridge (GB), on both muscle growth (hypertrophy) and athletic performance, specifically sprint capability. One study from the European Journal of Sport Science investigates the acute...
The Myth of Stretching 14.10.2025 20:30
PHYSIO MOSMAN: https://www.fitasaphysio.com/ The Myth of Stretching: What Science Says These sources challenge conventional wisdom regarding stretching and flexibility, primarily advocating for the reassessment of flexibility as a major component of physical fitness. We highlight limited evidence supporting static stretching's effectiveness in preventing injury, reducing muscle soreness, or s...
ACL Treatment Decisions Patient Experiences and Clinician Advice 14.10.2025 14:48
PHYSIO MOSMAN: https://www.fitasaphysio.com/ ACL Treatment Decisions: Patient Experiences and Clinician Advice This text is an excerpt from an original research article published in the Journal of Science and Medicine in Sport, focusing on Anterior Cruciate Ligament (ACL) injury treatment decisions from the perspective of 734 Australian patients. The study employed a mixed-methods design, using bo...
Exercise Therapy Does Not Harm Osteoarthritic Knees 14.10.2025 14:26
PHYSIO MOSMAN: https://www.fitasaphysio.com/ The sources comprise a clinical commentary from the Journal of Orthopaedic & Sports Physical Therapyaddressing the widespread belief that exercise therapy harms or "wears down" the knee joint in patients with osteoarthritis (OA). The authors, Alessio Bricca, Carsten Bogh Juhl, and Ewa M. Roos, assert that this misconception stems from misi...
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