Physio Network

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...

In this Episode, Dr Kieran Richardson discusses the updated evidence on surgical vs conservative management of ACL tears. We explore what best practice is currently and how to make that decision with your patients. We then jump into some new evidence about ACL healing and what this could mean for both clinicians and patients. Dr. Kieran Richardson (FACP) is a Specialist Musculoskeletal Physiothera...

In this episode, Dr Travis Pollen gives us a run down of the history of screening going back to the FMS and SMFA. He covers what we have learned since and what he feels was valuable from the process, what we can discard and how we can approach it clinically in the present day. Dr Pollen is a personal trainer who has obtained his PhD in Rehabilitation Sciences (Drexel University). He also holds a M...

In this episode Paul brings together knowledge from all the best health professionals he has followed and his own readings to give us 5 concise tips, with practical examples, on tackling longstanding pain. Paul qualified as a Physiotherapist in 2008 and immediately plunged into the world of persistent pain, initially working in a GP practice in Fulham, London before moving to a senior role in the...

In this Episode with Dr Mark Bishop, we explore the mechanisms of manual therapy and why it might be important to understand these in the treatment of our patients. We also discuss manual therapy as a collaborative treatment approach to increase the patient's buy-in to your treatment.  Mark Bishop is an Associate Professor in the Department of Physical Therapy at the University of Florida and...

In this episode with Lars, we explore the errors of assuming what we are measuring is due to our intervention. We also delve into the quote “outcome measures measure outcomes not interventions.” Lars is a Physiotherapist, writer, internationally acclaimed lecturer, teacher, and personal trainer. He has a unique blend of knowledge about pain research, neuroscience, physiotherapy, rehabilitation, ev...

In this Episode with Dr Henrik Riel we discuss the terminology of “plantar fasciitis” and “plantar fasciopathy”. We also discuss whether there is inflammation involved in “plantar fasciitis”, whether it matters and the impact this should have on our recommended treatment for our patients. Dr Henrik Riel, PhD, is a physiotherapist, postdoctoral researcher at Aalborg University, Denmark, and lecture...

In this episode with Kellie, we discuss the findings from her recent study on rowers with low back pain published in BJSM in 2021. We cover the definition of athletic low back pain, the prevalence, risk factors and how to unload the athlete. We also compare risk factors for athletic low back pain in athletes to the general population and discuss how these differences may affect patient management....

In this Episode Dr. Ben Fung discusses all things Burnout. We start with exploring the definition and then answering the question, ‘does money matter?’. We then cover employer and employee responsibilities and how to have open and honest conversations. Lastly, we touch on some practical and pragmatic tips. Ben was a Physical Therapist in the USA and now runs his own clinic as well as co-founding U...

In this episode Gráinne shares with us the often erroneous thought that the 6 week check up is all that is needed for postpartum women to return to exercise. She shares her beliefs and some tips about screening postpartum women for the everyday musculoskeletal private practice clinicians. Gráinne Donnelly is an Advanced Physiotherapist in pelvic health and an aspiring researcher. Want to learn mor...

In this episode Emma Brockwell takes us through the best current guidelines for exercise during pregnancy.  Emma Brockwell is a Specialist Pelvic Health Physiotherapist. She is passionate about pre and postnatal rehabilitation and exercise and specialises in enabling women back to exercise, particularly running and netball. Want to dive deeper into this topic? Emma Brockwell and Gráinne Donnelly r...

In this episode with Greg, he shares a personal injury story about his own journey with frozen shoulder and low back pain. This allows us to explore some of Greg's beliefs and approaches towards treating patients with both of these conditions and how the BPS model comes into their treatment. Then we discuss if and when biomechanics matter and his thoughts on the matter as well as the tricky s...

In this episode, Dr Chris Bleakley discusses how he assesses and rehabilitates ankles following a sprain. He introduces the concept of ankle sprains never being simple, and gives some key tips to help clinicians not to miss the slow or complicated ankle sprain. He had some key insights about being more specific with our testing and how to know when someone is ready to return to sport. Dr Chris Ble...

In this episode with Dr Jill Cook, we explore the tendon continuum model and the pathophysiology of tendons according to current research. We then delve deeper into what is clinically relevant and how we might prescribe rehabilitation for a real case. Jill challenges us on the notion of not just loading a tendon heavy and slow, and has practical tips around measuring load, not just pain.  Dr Jill...

In this episode with Julia we explore an evidence-based approach to diagnosing cervical radiculopathy through the findings of 2 papers which looked at the patient interview, clinical tests, and upper limb tension tests.  Check out Julia’s reviews of these 2 papers here (or in the app if you're a subscriber): -Patient interview items and clinical tests: https://bit.ly/3nKwvES -Upper limb neuro...

In this episode Jarod covers the initial research that led to clinicians being more aware of the impact of our language and words on patient outcomes. He also goes deeper on practical strategies on how to get patient buy-in and nudge patient beliefs. Jarod Hall is a physio, clinic director, adjunct assistant faculty member, and regular lecturer on managing complex patients with a simple approach r...

In this episode Jared shares with us how the evidence and narrative around shoulder pain has shifted in the last 5-10 years. We unpack the term ‘subacromial impingement’ and explore if that is still a relevant diagnosis according to current research. He also shares with us how his subjective and objective assessments have changed for clients with shoulder pain over time. Jared is an experienced mu...

In this episode Adam defines robustness, resilience and reliance and their relevance to both you and your patients within the clinic. He also discusses practical strategies for managing all 3 of these issues within your Physiotherapy consultations with specifics on rebooking with your patients and those difficult conversations regarding pain science. The Sports Physio website and social media prof...