The Physio Pulse Podcast

First episode of 2026 - Jeff celebrates reading the right paper - James reminisces about turkey sandwiches We are looking at the 2025 paper - Sprint running mechanics are associated with hamstring strain injury: a 6-month prospective cohort study of 126 elite male footballers

It's the end of the year, and as is tradition (i.e. it's what we did last year) we answer some listener questions, discuss different topics around the MSK world and James drinks some wine.

Our last episode before christmas! Hot off the press and only a month old, published in November 2025 What can we learn about the types of sport people try to return to after rotator cuff repairs. Do overhead athletes struggle more? and what are the risk factors for failure to return to sport?

This weeks guest is Dr. Jarred Boyd , head of physical therapy at the Memphis Grizzlies and an expert in critical thinking when it comes to reasoning out rehabilitation. In this episode, we dive straight into how Jarred uses dynamic systems theory, the theory of affordances and attractor states in his clinical reasoning. We have a post on our instagram page to explain these terms a little more how...

This week James and Jeff tread the tightrope of Physiotherapy... Plenty of clowning about... A circus acrobat with 8 months of worsening big toe pain What are your differentials? Would you investigate? How would you treat this? When does surgery become the right option?

We dive into a placebo comparison paper for the GLAD programme which has been growing over the past few years as a structured exercise approach to manage osteoarthritis. How does it shape up to open label placebo injections? What are our thoughts on the nuances of the study, and the positives / negatives of the GLAD programme? Please note, nothing in this episode is intended to be medical advice.

We know that a most conditions will improve or fluctuate with time, but how much does that effect research outcomes? To help answer this we are looking at the 2024 paper - Regression to the mean for physical function and quality of life in clinical trials for symptomatic knee osteoarthritis - Martin Englund and Aleksandra Turkiewicz - What is regression to the mean? - How can we measure it? - How...

A little bit of a different episode this week! Instead of talking through a paper we sit down to discuss our thoughts on Ben Patrick, otherwise known online as 'Knees Over Toes Guy'; a hugely successful movement with the aim to help people get out of pain. Athletic Truth Group is the name of Ben Patrick's business that has emerged from this training philosophy that appears to be doing...

This week we discuss the 2022 Van Der Graff paper Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trial What are the long term outcomes for these patients between the two groups and what can we take forward to help our patients make the best choice for them? https://pmc.ncbi.nlm.nih.gov/articles/PMC9304087/...

This week we chat through a paper that looked at surgeons answers to questions on knee osteoarthritis compared to ChatGPT. Who comes out on top? How can AI be used in healthcare? How would you fare against AI at the end of a long day? Are James and Jeff progressive thinkers or old at heart in their early 30's? Find the paper here: https://www.thekneejournal.com/article/S0968-0160(25)00065-1/ab...

We review a paper with 5200 participants that tried to answer how best to analyse someones risk of injury with training load. It's been making the rounds on social media, what does it actually show and how can we use this information clinically? Please note, this episode does not constitute medical advice. https://bjsm.bmj.com/content/bjsports/59/17/1203.full.pdf

This week we look at the new paper "The effect of exercise time and frequency on the development of cam morphology" by M. Baldawi et al 2025 https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-025-08603-1 What do we know about the development of CAM morphology? How do we define it? Could they be useful to athletes?

In this episode we sit down to discuss a really interesting paper all about how stability is produced in the glenohumeral joint. Concavity compression or Intrinsic muscle stiffness? Rotator cuff or larger muscle groups? We go through the mechanisms and basic biomechanical considerations of this before discussing what we think this papers findings mean in clinical practice. Use the comment function...

We're back for series 2!! New logo but unfortunately for you, same hosts... This week we're running through the brand new CALMER Cuff pathway from Fayh et al 2025. - How should we manage cuff tears? - How does surgery compare to conservative management? - How do we discuss this with our patients? https://www.jospt.org/doi/10.2519/jospt.2025.13342?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org...

That's us for the first half of 2025... holidays, babies and house moves keeping us busy over the next couple of months. James and Jeff crack a few beers, have a few rants, offend a few nations and answer listener questions.

We answer a question from a listener about the benefit of NHS versus private practice as a new graduate before going on discuss a recent randomised controlled trial comparing manual therapy to exercise therapy in the management of persistent neck pain. Finally we go on to discuss some of our considerations with managing people with neck pain. Please note, this episode does not constitute medical a...

We run through a presentation of shin pain that seems to evade any usual diagnosis. Please note, nothing in this episode is intended as medical advice.

We had the pleasure of sitting down with Ben Whybrow the host of the Clinical Communication Podcast to discuss... - Communication tips - Difficult conversations - How to handle conflict ... and cake... Hope you enjoy!

James is back and reminding Jeff this isn't an ACL podcast... Today we are discussing the famous GRASP trial looking at Education, Progressive Exercise and Steroid injections for RCRSP. What are the true take aways from this study? Don't forget to check out Jeff's upcoming live webinar on his Instagram page

James was off climbing in the Alps this week so Jeff seized the opportunity to talk more ACL with Mr. ACL himself, Fin Murphy , without the usual judgement from James about how this might be becoming a lower limb podcast! We cover everything to do with rehab considerations of the big 3 donor sites for ACL rehab. Great practical takeaways throughout this one! Please note, this episode does not cons...

Dylan Carmody joins us this week to talk to us about: Anatomical and Functional considerations we need to understand when rehabilitating the calf complex What objective tests we can use to help guide our rehabilitation and advice Rehabilitation tips and tricks James' cross sectionally challenged calves. Check out his amazing value calf force profiling book here !

This week we are discussing the new secondary analysis of the KANON study from this year... Do conservatively managed ACL's that show healing actually get better outcomes long term? https://journals.sagepub.com/doi/full/10.1177/03635465251339061?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org

This week we discuss one of Jeff's go-to papers on everything to do with meniscectomy. We also touch on high tibial osteotomy and chondral cartilage surgery! This is the last week of Jeff's launch sale for 'The Force Awakens: How to REALLY use biomechanics in clinical practice' - enter code LAUNCH20 at the checkout through the link in his instagram bio! Find the paper we discussed...

Apologies for missing last week... But we are back with one of James' favourite ever studies looking at sham exercise vs strengthening for GTPS Definitely a study that raises a lot of talking points, hope you enjoy!

This week we are re-releasing our first ever proper episode on two RCT's exploring the question of whether there is a difference between ACL reconstruction and non-operative management! Please note, this epidsode does not constitute medical advice.