Inside the Science

In S6E4 of Inside the Science, we're highlighting the study, "Is a stepped-care intervention effective in overweight and obese people with medial tibiofemoral osteoarthritis? A randomized controlled trial" with Dr. David Hunter. He explains what prompted this work, how this study attempted to mimic clinical practice, why the criteria of subjects being obese was included, more on the methods, how s...

In S6E3 of Inside the Science, we're highlighting the study, "How common is imaging for low back pain in primary and emergency care? Systematic review and meta-analysis of over 4 million imaging requests across 21 years" with Dr. Mark Hancock. He explains the context of this topic and what prompted it what the more important data to retain from this study is, the challenges with defining what appr...

In S6E2 of Inside the Science, we're highlighting the study, "Effect of Intra-articular Platelet-Rich Plasma vs Placebo Injection on Pain and Medial Tibial Cartilage Volume in Patients With Knee Osteoarthritis The RESTORE Randomized Clinical Trial" with Dr. David Hunter. He explains what the previous literature suggested about PRP injections, what the treatment is, technically and theoretically, p...

In S6E1 of Inside the Science, we're highlighting the study, "What messages predict intention to self-manage low back pain? A study of attitudes towards patient education" with Dr. Ian Harris. He explains the context of this topic and what prompted it including an attempt to demedicalize low back pain, why some patients didn't like some of the comments and educational statements given even though...

In S5E16 of Inside the Science, we're highlighting the study, "The Relationship Between History and Physical Examination Findings and the Outcome of Electrodiagnostic Testing in Patients With Sciatica Referred to Physical Therapy" Dr. Nathan Savage. He shares what prompted this study, the results and association or lack of association with examination and patient history for patients with sciatica...

In S5E15 of Inside the Science, we're highlighting the study, "Arthroscopic partial meniscectomy: did it ever work?" with Dr. Ian Harris. He explains a bit of the history behind partial meniscectomy, the faulty thinking of its ability to cause a good outcome from its beginning, what systematic reviews on this topic have consistently shown, his thoughts on the those who would propose they have an e...

In S5E14 of Inside the Science, we're highlighting the study, "The prognostic value of electrodiagnostic testing in patients with sciatica receiving physical therapy" Dr. Nathan Savage. He shares some general understanding of electrodiagnostic testing, common electrodiagnostic testing changes with radiculopathy and expected test results over time in this population, elaboration of the extension-ba...

In S5E13 of Inside the Science, we're highlighting the study, "Preoperative factors and patient-reported outcomes after total hip arthroplasty: a multivariable prediction model" with Dr Ian Harris. He explains more about what specifically was found to predict a patient's outcome for hip joint replacement, how we should and shouldn't interpret the results of this paper, how we might use this paper...

In S5E12 of Inside the Science, we're highlighting the study, "High Impact Chronic Pain Transition in Lumbar Surgery Recipients" with Dr Chad Cook. He explains more about this label of high impact chronic pain as it pertains to lumbar pain populations, more in-depth clarification of the methods of this study, who this data may be most meaningful to and with whom we may be wise to share it, the cli...

In S5E11 of Inside the Science, we're highlighting the editorial, "Is heavy eccentric calf training our best option for mid-portion Achilles tendinopathy? A systematic review and meta-analysis" with Dr. Ebonie Rio. She explains the findings of this systematic review, what constitutes the comparative exercises eccentrics were compared to, with whom this data is most important to share, how it's not...

In S5E10 of Inside the Science, we're highlighting the study, "High-impact chronic pain transition in surgical recipients with cervical spondylotic myelopathy" with Dr. Chad Cook. He explains more about this label of high impact chronic pain, more in-depth clarification of the methods of this study, who this data may be most meaningful to and with whom we may be wise to share it, the clinical pres...

In S5E9 of Inside the Science, we're highlighting the editorial, "Adaptation of the pathological tendon: You cannot trade in for a new one, but perhaps you don't need to?" with Dr. Ebonie Rio. She explains the current understand of the pathology of a tendon, how she educates her patients who present with a painful or limiting tendon, some suggested resources to paint an accurate picture for patien...

In S5E8 of Inside the Science, we're highlighting the study, "Classification of older adults who underwent lumbar-related surgery using pre-operative biopsychosocial predictors and relationships with surgical recovery: An observational study conducted in the United States" with Dr. Chad Cook. He explains more about the three categories of risk of poor outcomes related to surgical recovery, a possi...

In S5E7 of Inside the Science, we're highlighting the study, "Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross‐sectional epidemiological study" with Dr. Italo Lemes. He explains the methods and what qualified as physical activity and sedentary behavior, the most important finding, who the most relevant audience is and why policy...

In S5E6 of Inside the Science, we're highlighting the study, "Isometric Exercise to Reduce Pain in Patellar Tendinopathy In-Season; Is It Effective "on the Road?" with Dr. Ebonie Rio. She explains how load was applied through this Spanish squat variation, the importance of patient or subject adherence, how educating the patient was scripted including a careful choice of words used, how these resul...

In S5E5 of Inside the Science, we're highlighting the study, "Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis; A RCT" with Mr. Richard Rosedale. He shares some specifics of the methods important to understand, the operational definition of directional preference in this paper, the most important data he'd suggest we...

In S5E4 of Inside the Science, we're highlighting the study, "Shoulder Pain of Spinal Source in the Military: A Case Series" with Dr. Joseph Hathcock. He shares the selection process of these three patients with shoulder complaints included in this case series, the unique loading strategies which yielded a reduction of each subject's pain and the restoration of movement and function, the subject's...

In S5E3 of Inside the Science, we're highlighting the study, "Measurement of outcomes for patients with centralizing versus non-centralizing neck pain" with Dr. Terry Rose. He shares what was lacking in the literature which prompted this study, the operational definition of centralization which was used, the most important data he'd suggest we take from the results, the clinical implications and t...

In S5E2 of Inside the Science, we're highlighting the study, "Inter-rater Reliability of the McKenzie Method of Mechanical Diagnosis and Therapy for the Provisional Classification of Low Back Pain in Adolescents and Young Adults " with Ms. Monica Chan. In the full discussion you'll hear Ms. Chan further explain the limitations of this study, the most important data to draw from this paper includin...

In S5E1 of Inside the Science, we're highlighting the study, "Directional preference of the wrist: a preliminary investigation" with Dr. Joe Maccio. In the full discussion, you'll hear Dr. Maccio further explain the characteristics of these 19 patients, the predictive observations of those patients showing directional preference, how this has influenced his assessment of extremities in general and...

In S4E16 of Inside the Science, we're highlighting the study, "Evaluation is a treatment for low back pain" with Dr. Korey Zimney. In the full discussion, you'll hear Dr. Zimney further elaborate on the importance of the clinician-patient relationship commonly referred to as therapeutic alliance, specifics on the methods, which aspects of pain, beliefs and function were impacted and which weren't,...

In S4E15 of Inside the Science, we're highlighting the study, "The clinical application of teaching people about pain" with Dr. Kory Zimney. In the full discussion, you'll hear Dr. Zimney further explain the evidence behind effective pain neuroscience education, the benefits of the use of metaphors, examples, and illustrations, other resources to read additionally, the specific implications and th...

In S4E14 of Inside of Science, we're highlighting the study, "The application of mechanical diagnosis and therapy in lateral epicondylalgia" with Mr. Joe Maccio. In the full discussion, you'll hear Mr. Maccio further explain the method of assessment and treatment for these three patients, the understood conventional criteria with which clinicians use to diagnose a patient with lateral epicondyliti...

In S4E13 of Inside the Science, we're highlighting the study, "Is a government-regulated rehabilitation guideline more effective than general practitioner education or preferred-provider rehabilitation in promoting recovery from acute whiplash-associated disorders? A pragmatic randomised controlled trial" with Dr. Pierre Cote. If you'd like to get access to the full discussion with Dr. Cote to hea...

In S4E12 of Inside the Science, we're highlighting the study, "Directional preference of the extremity: a preliminary investigation" with Dr Joe Maccio. In the full discussion, you'll hear Dr Maccio further explain what data was measured and gathered, what were the most associated findings linked to those with a directional preference and therefore classified as derangement, some data regarding mo...