Clinical Pearls for Graduate Physios: Recent Episodes
Dion Kapnias
The podcast that collaborates with experts in the world of physiotherapy to give physio new grads and students key tips and tricks to help them in their everyday practice. The show is hosted by recent new grad, Dion Kapnias. Episodes are released on the first Sunday of every month. Keep up to date on Instagram via @clinical.pearls
Today I spoke with Dr Grant Willson all about Sleep! It's such an important topic, and probably one that we don't place enough emphasis on in our practice, but more importantly in our lives.
Grant knows this all too well, having worked in the space of sleep medicine for over 20 years. Grant completed his PhD evaluating new therapies for patients with sleep apnea and heart failure. Grant founded the Sleep and Lifestyle Clinic in Canberra and is still the director there - fair to say he has plenty of experience in this field!
We speak about the importance of sleep, its link to MSK injuries, long term complications such as diabetes, as well as specific sleep disorders such as sleep apnea.
I learnt so much from speaking to Grant and I'm sure you will too!
Clinical Pearls is proudly sponsored by Learn.Physio. Struggling to stay ahead of the curve? Learn.Physio is your one-stop shop for clinically relevant and evidence-based professional development.
Master new skills from world-renowned practitioners and researchers, improve patient outcomes with the latest approaches, and boost your confidence as a health professional.
Take your practice to the next level, and visit www.learn.physio to learn more!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I interviewed Sam Turner , who i work alongside at Life Performance Sports Medicine in Melbourne. Sam is a podiatrist who is first and foremost a terrific person, but also serves as the Consultant Podiatrist for North Melbourne Football Club and Western United Football Club. He has a wealth of knowledge and experience, and it certainly shone through today.
We speak about the role and importance of the 1st MTPJ / Big toe , differential diagnoses to look out for, when to refer on, and much more.
Papers / researchers Sammy mentioned:
Hylton Menz: https://scholars.latrobe.edu.au/hmenz
Shannon Munteanu: https://scholars.latrobe.edu.au/se2munteanu
Jamie Allan: https://www.hotdoc.com.au/medical-centres/rosanna-VIC-3084/bellevue-podiatry/doctors/jamie-allan
Stuart Imer : https://faara.com.au/about/
Patrick Rowe: https://www.vu.edu.au/contact-us/patrick-rowe
1st MTPJ OA characteristics: https://opal.latrobe.edu.au/articles/thesis/Osteoarthritis_of_the_first_metatarsophalangeal_joint_associated_factors_clinical_diagnosis_and_treatment_using_viscosupplementation/21855234?file=38778756
Luke Kelly : intrinsic foot strength: https://physiologic.com.au/our-team/luke-kelly/
Romain Tourillon: https://www.sportsmith.co/contributors/romain-tourillon/
Clinical Pearls is proudly sponsored by Learn.Physio. Struggling to stay ahead of the curve? Learn.Physio is your one-stop shop for clinically relevant and evidence-based professional development.
Master new skills from world-renowned practitioners and researchers, improve patient outcomes with the latest approaches, and boost your confidence as a health professional.
Take your practice to the next level, and visit www.learn.physio to learn more!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
I thought I'd throw back to an old but gold episode on Metabolic Syndrome with Dr Casey Peiris!
Despite this recording taking place back in 2022, I still feel that this topic is overlooked + severely underdiagnosed by physiotherapists + other clinicians.
Chances are, someone you see today at work will have metabolic syndrome and may not realise it!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I set out early to Melbourne Orthopaedic Group (MOG) to interview A/Prof Tim Lording about Posterolateral Corner Instability! Tim was super generous with his time and it was fantastic to learn from him.
Tim is a well renowned orthopaedic surgeon who specialises in knees. He has trained locally as well as internationally in both France and Canada. Aside from his clinical work, Tim has also published over twenty research articles and many book chapters on knee surgery, including a consensus statement on Posterolateral Corner Instability. He has also presented at numerous international meetings and conferences.
We speak about important subjective information to gather, the role of imaging and other objective testing, when surgery is indicated vs when conservative treatment is appropriate, and much more.
It's a fascinating topic and I learnt so much from today. I hope you take away plenty of pearls !
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I spoke with Dr Myles Murphy; he's a post-doctoral physio and researcher based out of Western Australia at Edith Cowan University. Myles’ research involves investigating the drivers of pain and impairment in people with lower-limb musculoskeletal injury and disability as well as looking at new ways to address these impairments.
We speak about the reasons for reduced neuromuscular drive including pain inhibition and cortical inhibition, why people don't get better, how we can maximise neuromuscular activation, and much more.
This was a super interesting topic to discuss and I'm sure you'll get plenty out of it!
Myles' university profile: https://www.ecu.edu.au/schools/medical-and-health-sciences/our-staff/profiles/post-doctoral-research-fellows/dr-myles-murphy
Myles' Linkedin: https://www.linkedin.com/in/myles-murphy-b87982134?original_referer=https%3A%2F%2Fwww%2Egoogle%2Ecom%2F&originalSubdomain=au
'Tendon neuroplastic training' paper: https://bjsm.bmj.com/content/bjsports/50/4/209.full.pdf
University of Delaware resources from Dr Lynn Synder-Mackler: https://www.researchgate.net/scientific-contributions/Lynn-Snyder-Mackler-15681863
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I spoke with Dr Glen Whittaker on the topic of Plantar Heel Pain (PHP)! Glen is a podiatrist by trade, as well as being a researcher and Senior Lecturer at La Trobe University in Melbourne. He has a keen interest in heel pain, and completed his PhD in 2019 looking at corticosteroid injections vs orthotics for PHP. He has so much experience in this area which shone through in our conversation - I definitely learnt a lot from him today!
We speak about the causes and pathophysiology of PHP, if the terminology we use to define it is important (ie. plantar fasciitis vs PHP etc), the effectiveness of orthotics vs shockwave vs stretching and so on, and much more.
I hope you enjoy !
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
My time #abroad is complete, so now it's time to get back into some more 'regular' episodes!
Today I spoke with Prof. Duncan Reid, who is based out of Auckland University of Technology in New Zealand, where he is heavily involved in teaching and research.
Duncan has over 40 years of experience as a physio, ranging from owning a private practice, to being involved in multiple Olympic and Commonwealth Games, to supervising PhD students. His extensive background in teaching really shines through in his ability to explain the ACJ today!
We speak about the role and anatomy of the ACJ, the Rockwood Classification System, when to operate on ACJ injuries, principles of rehabilitation and much more.
Papers that Duncan mentioned:
1. 'Acromioclavicular Joint Injuries : Evidence Based Treament' : (Frank et al., 2019) https://journals.lww.com/jaaos/abstract/2019/09010/acromioclavicular_joint_injuries__evidence_based.7.aspx
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'Acromioclavicular Joint Injuries: Effective Rehabilitation' (LeVasseur et al., 2021) : https://www.tandfonline.com/doi/full/10.2147/OAJSM.S244283
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Acromioclavicular Joint Separations Grades I–III. A Review of the Literature and Development of Best Practice Guidelines (Reid et al., 2011) : https://www.researchgate.net/profile/Duncan-Reid-3/publication/257286837_Acromioclavicular_Joint_Separations_Grades_I-III/links/5706d65408ae04e9708c0cd3/Acromioclavicular-Joint-Separations-Grades-I-III.pdf
I hope you enjoy !
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
This is the final episode of Season 3, 'ABROAD'! Today I was lucky enough to speak with Professor Jeremy Lewis.
Jeremy is widely regarded as a preeminent musculoskeletal physio and is highly sought after as a guest speaker. He is also heavily involved in research of the shoulder and main other topics. He has a wealth of experience working across the world, and now specialises with helping those with complex shoulder pain. Jeremy is also the author of the best selling textbook, 'The Shoulder: Theory & Practice' (Handspring Publishing).
We speak about how much Jeremy emphasises and spends time on the subjective assessment (rather than the objective assessment) and how crucial this is, the role of special tests, the Shoulder Symptom Modification Procedure (which Jeremy first described in 2009), and much more.
It was honestly a thrill to speak with Jeremy and I learned so much! I hope you love it as much as I did.
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today i spoke with Nichola Roberts in Clapham, London. Nichola is a physio whose specialty is working with cyclists and triathletes. She has 20+ years experience as a physio, and has almost worked exclusively with cyclists and triathletes for nearly 10 years.
We speak about what a bike fit is and what it involves, the importance of paying attention to the entire kinetic chain and not just the symptomatic region, common injuries, when to refer on and much more.
I hope you enjoy!
Links mentioned in the episode:
Medicine of cycling: https://www.medicineofcycling.com/
PhysioSports Brighton courses: https://physiosports.com.au/courses/
The Cycling Physios: http://www.thecyclingphysios.com/
Nichola's links :
http://www.velophysio.co.uk/
@velophysio
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I spoke with Dr Katie Hunzinger who is based in Philadelphia, USA. Katie's research interests lie in concussion and concussion related MSK injuries , as well as the long term impacts of concussion. She is an Assistant Professor in Exercise Science at Thomas Jefferson University.
This is part 2 of my chat with Katie, where we talk about her amazing research on the link between concussion and lower limb injuries. We talk about why there is a 2x greater risk of lower limb injuries following concussion, how we can help prevent these injuries, practical takeaways for clinicians and much more.
Follow Katie on X : @katiehunzinger for updates on her clinical work and research!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I spoke with Dr Katie Hunzinger who is based in Philadelphia, USA. Katie's research interests lie in concussion and concussion related MSK injuries , as well as the long term impacts of concussion. She is an Assistant Professor in Exercise Science at Thomas Jefferson University.
This is part 1 of my chat with Katie, where we cover the definition of concussion, pitch side assessment, the long term complications of concussion, and much more.
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I spoke with my former colleague and fellow Western Bulldogs supporter Nicole Symons all about Women's Health Physiotherapy! Nic has over 7 years experience as a physio and recently opened up a clinic in Mitcham, Melbourne called Uplift which is a Women's Health Physiotherapy specific clinic!
We talk about what her role involves, key questions any MSK physio can ask to help those with women's health concerns in your practice, pregnancy exercise guidelines, when to refer on and much more.
If you're a physio who is interested in working in women's health, or if you work in Melbourne and don't know who to refer to for women's health physio, make sure you reach out to Nicole and Uplift ! https://upliftwomenshealth.com.au/
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Tam is a neurological physiotherapist with over 30 years clinical experience. She currently works as an Advanced Practitioner in the Flinders Rehabilitation Services in Adelaide, Australia, and has a strong interest in stroke rehabilitation. Tam has completed her PhD where she explored adherence to exercise in stroke survivors through a number of methods, including a qualitative study and an implementation study.
We chat about the key factors to change behaviour, where physios often go wrong, useful theoretical models you can apply in your practice and much more.
I hope you enjoy !
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today I spoke with Jo Winton in London. Jo is a Consultant Physiotherapist at Liverpool Upper Limb Unit. She also works part time in a private clinic in Liverpool called Rehab4Performance, whilst she is also a British Elbow and Shoulder Society (BESS) Council Member. Jo has over 20 years experience working with the elbow and shoulder so it was incredible to learn from her!
We spoke about key differential diagnoses often missed by inexperienced physios, the evidence behind treatment options such as injections vs massage vs exercise, central sensitisation and much more.
Thanks for listening!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today I spoke with Jo Winton in London. Jo is a Consultant Physiotherapist at Liverpool Upper Limb Unit. She also works part time in a private clinic in Liverpool called Rehab4Performance, whilst she is also a British Elbow and Shoulder Society (BESS) Council Member. Jo has over 20 years experience working with the elbow and shoulder so it was incredible to learn from her!
We speak about the prevalence of elbow stiffness after a traumatic injury, thinking about the bigger picture including psychosocial reasons for why elbows get stiff, hands on and hands off treatment options, and much more.
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today's guest is Tom Jesson. Tom is an author, researcher and physio who has a keen interest in radicular pain and Cauda Equina Syndrome (CES). Tom also provides online training to clinicians. He has written two books, Cauda Equina Syndrome: The MSK Clinician’s Guide (with Rob Tyer) and Understanding Sciatica (with Annina Schmid), both of which are available at https://tomjesson.com/
We speak about defining radicular pain vs sciatica vs referred pain, the value of imaging, surgery vs physio vs injections and much more. Tom is an excellent teacher and I left this interview feeling incredible as I got so much out of it!
Hope you enjoy!!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
I sat down with my good friend Rowan Jobling today to speak about his experience working in London's West End, predominantly for The Lion King Musical but also for Hamilton!
Rowan is a physiotherapist who graduated at the same time as me in 2021, and has since worked in private practice, sports and in the theatre industry. He has a background in dance, and has always been keen to work with dancers and artists. He is currently the head physio for The Lion King Musical in London, which is pretty incredible!
We speak about how he got the job, what it's like to work in such a large scale production, the pressures he faces and much more.
I found it really inspiring and exciting to hear about his experience so far and hopefully you will too!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today I spoke with Ms Anju Jaggi. Anju is a Consultant Physiotherapist and Clinical Director of Therapies working at Royal National Orthopaedic Hospital in London, and has over 23 years of working exclusively with shoulders and elbows. She is also involved in clinical research, whilst she also sits on the British Shoulder & Elbow Society (BESS) sub-committee looking at National guidelines for management of shoulder instability. She presents both nationally & internationally as well as running her own shoulder courses.
We speak about when surgery is indicated, her approach to assessing the unstable shoulder, what the current research tells us about treatment, and much more. Thanks for listening!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today I spoke with Professor Per Holmich. He is a world renowned orthopaedic surgeon, lecturer and researcher based in Copenhagen, Denmark, and has been working with the hip and groin for 20 + years. He has authored 300+ research papers, been involved in 100+ international scientific lectures and helped to shape our current day approach to hip and groin pain!
We speak about the importance of not overcomplicating long standing groin pain, paying attention to the kinetic chain, valuable clinical tests to use and much more.
I hope you enjoy!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today i spoke with Mat Facey to get a thorough overview of vestibular physio. It's an area I really don't know much about so it was great to pick Mat's brain!
Mat is a Band 7 Physiotherapist who is the Clinical Lead for Orthopaedics at Croydon University Hospital, which is where I'm currently working. Mat has had a wealth of experience working with vestibular cases, and he is a very talented teacher which made for a really good discussion!
We chat about common tests used and what they tell us, differentiating between central and peripheral concerns, BPPV and much more.
The Drop
The Drop is a podcast dedicated to discussing all things aesthetic treatments!
Listen on: Apple Podcasts Spotify
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today i spoke with Dr Ian Gatt all about hand and wrist injuries in boxing.
Ian Gatt is an Upper Limb Injury Specialist with the prestigious English Institute of Sport (EIS) providing an advisory role to Olympic and Paralympic sports. Ian has been a sports physiotherapist for over 20 years, with considerable time spent managing the sports science & medical services for the Great Britain Boxing programme. He has attended major events supporting elite athletes on their path to success through Athens 2004, Beijing 2008, London 2012, Rio 2016, and current Tokyo 2020 Olympic cycles. Ian is also a published author on research papers and is currently a PhD candidate in Upper Limb Biomechanics at Sheffield Hallam University.We speak about Ian's approach in the event of an acute injury, the value of having urgency but not being rushed, the importance of understanding anatomy as it relates to function and much more.
Ian's contact details:
Instagram: @iangattgattman
Twitter: @iangattphysio
And make sure you check out Ian's courses! He's featured in quite a few on Physiopedia Plus and many more.
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today I spoke with Christina Merchant-Brown, who is an Acute Liaison Nurse at Croydon University Hospital in London, which is where I am currently working.
Christina's role at the hospital is to offer support and guidance to clinicians who are treating an adult with a learning disability at the hospital. She's very experienced in this field and offered some incredible insight !
We chat about the implications of having a learning disability, some practical tips to keep those with a learning disability engaged, how you can upskill yourself to be more comfortable working with those with a learning disability, and much more.
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today i spoke with Claire Robertson, better known as Claire Patella! She's one of the most knowledgeable clinicians when it comes to patellofemoral pain and it was a true privilege to speak with her.
Claire has worked in the NHS, academia and private practice, and currently runs a specialist patellofemoral clinic at Wimbledon Clinics. Claire has lectured internationally and has many research papers and editorials published in internationally peer-reviewed journals. Claire also runs her own post-graduate course on patellofemoral problems for physiotherapists.We speak about if quad strength is as important as it is often taught, the role of patellofemoral taping and what it actually does, overlooked areas of assessment and much more.
Here are the relevant links from today's episodeClaire's very own 'Ice it Away' product to help with patellofemoral pain: https://clairepatella.com/product/ice-it-away/
Physiotutors Masterclass featuring Claire: https://study.physiotutors.com/members/clairepatella/
Claire's website: https://clairepatella.com/
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today I ventured out to Headcorn, UK to speak with Jack 'The Rheumatology Physio' March to get an introduction to the topic he works very heavily in! It was so nice to meet Jack and record this episode at his place!
Jack has been specialising in rheumatology since 2011 and has made quite the name for himself! Jack is part of the team at 'Physio Matters' , delivering webinars, podcasts and more, whilst also doing a lot of teaching, courses, and also engaging in telehealth consults with patients with rheumatological conditions
Jack gives an overview to rheumatology physio, when to refer on, how we can best manage these conditions, signs and symptoms to look out for and much more.
This episode was recorded live in Headcorn, UK in May. I hope you enjoy !
Make sure you check out Physio Matters, they have some incredible content so would highly recommend ! : https://physio-matters.com/
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today i spoke with Dr Nicol Van Dyk in Dublin, Ireland, on two fascinating topics - this is Part B! Nicol was so friendly and generous with his time, it was an absolute pleasure to meet him.
Nicol van Dyk is a physiotherapist and clinical researcher currently occupying the role of Injury Surveillance and Medical Research Officer with the Irish Rugby Football Union in Dublin, Ireland. In 2018 Nicol completed his PhD in Health Sciences at Ghent University, Belgium titled “Risk factors for hamstring injuries in professional football players.” During this time Nicol was a physiotherapist at the Aspetar Orthopaedic and Sports Medicine Hospital.
We talk about the importance of the language we use with our patients, why these skills are so important to prioritise, especially in your early years, how to improve your listening skills and much more.
This episode was recorded live at the Irish Rugby Football Union (IRFU) High Performance Facility, Ireland in March. I hope you enjoy!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today i spoke with Dr Nicol Van Dyk in Dublin, Ireland, on two fascinating topics - this is Part A! Nicol was so friendly and generous with his time, it was an absolute pleasure to meet him.
Nicol van Dyk is a physiotherapist and clinical researcher currently occupying the role of Injury Surveillance and Medical Research Officer with the Irish Rugby Football Union in Dublin, Ireland. In 2018 Nicol completed his PhD in Health Sciences at Ghent University, Belgium titled “Risk factors for hamstring injuries in professional football players.” During this time Nicol was a physiotherapist at the Aspetar Orthopaedic and Sports Medicine Hospital.
We talk about the key pillars for hamstring prevention, strength work beyond just nordics, tips for implementing preventative practices with your own athletes and much more
This episode was recorded live at the Irish Rugby Football Union (IRFU) High Performance Facility, Ireland in March. I hope you enjoy!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today is a special solo episode in which I'll cover the nuts and bolts of how to move to the UK (from Australia) and work as a physio! This is from my experience only, and there are likely subtle differences depending on your age / citizenship status / etc.
I'll cover:
- Visas
- Health and Care Professions Council (HCPC) registration (equivalent of AHPRA)
- Finding jobs including locum work
- Finding a place to live
- Time and cost considerations
- And much more!
The episode is sponsored my Entrada Recruitment Group. I found my current job through them and they've been unbelievable! Chris and the team are super helpful, and always have jobs going. Please see below for their contact details:
Email: relocate@entradarecruitment.com / chris@entradarecruitment.com
Website: https://www.entradarecruitment.com/
Instagram: https://www.instagram.com/entradarecruitmentgroup/?hl=en
LinkedIn: https://www.linkedin.com/company/entradarecruitment
Other links / pages i mentioned:
- Spareroom app (for accommodation in the UK)
- 'Aussies in London' Facebook page (for advice/ help / social gatherings)
- 'Hackney Wick Spaces' Facebook page (for accommodation in the UK)
I hope you enjoy!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Today i spoke with Dr Kieran O'Sullivan in Limerick, Ireland, all about low back pain education. Kieran is one of the world leaders when it comes to back pain research and it was amazing to sit down with him and pick his brain.
Kieran is senior lecturer in the School of Allied Health at University of Limerick, has published over 140 peer-reviewed articles, worked as Lead Physiotherapist at the Sports Spine Centre at Aspetar, Qatar, alongside many other accolades.
We chat about and debunk common myths related to low back pain, how to approach difficult conversations with those who experience persistent low back pain, how to best deliver education and much more.
This episode was recorded live at the University of Limerick, Ireland in March. I hope you enjoy!
& so much more
A bi-monthly podcast where we share the stories of our Caregivers, patients and...
Listen on: Apple Podcasts Spotify
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
The opportunity came up to interview Billy, who is in Australia, and I couldn't turn it down! Billy has over 5 years experience working as a golf-specific physio, including working on the Australian PGA tour. It was fascinating to pick his brain about the nuances of golf and gold-related injuries.
We speak about common injuries he will see, compensatory strategies to look out, key areas for mobility, key focus areas for strength and conditioning and much more. If you want to check out Billy and his work, see here:
Instagram: https://www.instagram.com/golf_physio_aus/
Website: https://www.golfphysiotherapyaustralia.com/
I hope you enjoy and get something out of this!
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Stefan is an orthopaedic surgeon by trade with an extensive background in clinical research. He is a past president of the Osteoarthritis Research Society International. In 2017 he received the OARSI Lifetime Achievement Award for exceptional contributions to the advancement of knowledge in the field of osteoarthritis.
Over the past 10+ years, Stefan has been part of the KANON group, led by Stephanie Filbay from Melbourne, which has produced some amazing research on the potential for non-operative management of ACL injuries. Their most recent paper highlighted the potential of the ACL to heal in roughly 1/3 of individuals, which is what we discussed in this chat!
We talk about the clinical implications of the research, what it means for surgeons, physios and GP's, if follow up scans are necessary and much more.
This episode was recorded live in Stefan's house in Lund, Sweden. He was so generous with his time and even showed me and my partner, Maddy, around the small town afterwards, and took us for lunch!
I hope you enjoy this chat and get something out of it !
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
Carl-Johan (CJ) is a Professor of Cognitive Neuroscience of Aging across Sweden and Denmark, and has done a lot of research on the benefits of exercise for brain health, with an emphasis on its benefits for older individuals. He also has a TED talk on the topic! (see below for the link). CJ is super knowledgable in this area and it was a pleasure to speak with him about this topic.
We talk about how exercise can impact dementia, how much and what type of exercise is recommended to improve brain health, how we can create longterm behaviour change and much more.
This episode was recorded live in the Panum building of the University of Copenhagen, Denmark. I hope you enjoy!
CJ'S Ted Talk: https://www.youtube.com/watch?v=Q03He27GARo
If you enjoy the show, please leave a review ; it's a massive help to get it out there to more people! For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 3, in which I'll be travelling around Europe to interview a variety of guests in person throughout 2023!
This is such an interesting topic, and one that I knew next to nothing about before speaking to John and Alex. It really challenged a lot of previously held assumptions that I had, and I'm sure you'll have a similar experience.
John's background is a GP, whilst Alex is an anthropologist. They conduct research together, and it was amazing to get their different perspectives on each question due to their different clinical backgrounds. John and Alex will be keynote speakers at the "Preventing Overdiagnosis 2023 International Conference", which I'm hopeful i will be able to attend!
We speak about what overdiagnosis is, practical examples, why it is harmful to our patients, how physios can avoid overdiagnosis and deliver high quality care, and much more.
This episode was recorded live in John's office in Copenhagen, Denmark. I hope you enjoy!
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
So exciting to announce that Season 3 is finally here! ICYMI, I'm currently travelling around Europe and will be interviewing a variety of European guests in person across the rest of the year!
I'm very excited to bring you an interview with the one and only Physiotutors as the first episode of Season 3! Physiotutors are an online physiotherapy educational company who provide high-quality evidence-based online education and tools for physiotherapy students and professionals around the world. With over 700,000 Youtube subscribers from around the world, their own textbook, online courses, e-books and much more, they are truly two of the biggest stars in the physiotherapy world.
It was a pleasure to meet both Kai and Andreas, and they were super generous with their time. We speak about how Physiotutors started (including filming their early videos in their living room!), why they continue it today and their experiences along the way.
I hope you enjoy!
Kai's reference to his blog, '5 reasons your therapy sucks' : https://www.physiotutors.com/5-reasons-your-therapy-sucks/
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Bit of a different episode this week as I am the guest! I was interviewed by my good friend, Em McIver, about my experience so far treating people with mental health conditions or psychological distress. This is a really interesting area for me so I was thrilled to chat with her about the topic.
We speak about the importance of listening and not rushing to say anything or give advice, how it is more prevalent than we realise, practical tips and much more.
2 weeks until Season 3 is launched which is super exciting !
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I got to speak to Nick Cross all about the Posterior Heel. I attended one of Nick's PD events at Melbourne CBD Physio which was awesome, and so had to get him on to talk about it !
Nick is a clinician and researcher in Melbourne with a keen interest in foot and ankle pain. He works as a physio for Athletics Australia and has a wealth of experience in this area.
We speak about key subjective info to gather, the importance of looking further up the chain, and how to tailor your rehab to the person in front of you. I hope you enjoy!
This was originally recorded in mid 2022 and so the references to upcoming PD events ran by Nick and the team may no longer be relevant, but be sure to check out their website for future PD events!
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Here's a little bonus episode to see us through to the launch of Season 3 later this year! Please stick through the first ~2 mins of audio which played up during recording, it quickly fixes itself I promise!
Today i spoke with Katharine Camobreco. She completed her degree at the same time as me in 2021, and is now into her second year as a physio in private practice. Katharine completed her final year uni project on Posterior Ankle Impingement Syndrome (PAIS) , with some help and guidance from expert and former guest Dr Sue Mayes. We speak about what PAIS is, how to diagnose it, and some of the hypothesised causes for the condition. I hope you enjoy!
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 2, in which Clinical Pearls for Graduate Physios is collaborating with Learn.Physio on some exciting topics from their Masterclass and Practical series!
Today I spoke with Janina Strauts. Janina currently works as the strength and conditioning coach for the Olympic Winter Institute of Australia (OWIA). She works with various winter sport athletes including both skiers and snowboarders. Previously, she has worked at both the AIS and NSWIS as a strength and conditioning coach.
We speak about the differences in ACL injuries from field based athletes to winter athletes, the importance of inner range hamstring strength, how to prepare for the slopes and much more.
Janina features in the 'Late Stage ACLR Rehab: Winter Athlete Masterclass' for Learn.Physio. I hope you enjoy!
Founded by sports and exercise physiotherapists Mick Hughes and Randall Cooper, Learn.Physio provides health professionals with high quality, evidence-based learning experiences from wherever they are, whenever they choose. Learn at your own pace with our flexible 'on the go' format and allow our experts to help you take your knowledge to the next level. To find out more, visit www.learn.physio
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 2, in which Clinical Pearls for Graduate Physios is collaborating with Learn.Physio on some exciting topics from their Masterclass and Practical series!
Today I spoke with Dr Matt Whalan. Matt is a physio, researcher and sport scientist who completed his PhD in injury prevention in 2020. Matt also has a role at Football Australia (FA) to design and implement the new national Player Availability Model and the FA Perform+ and Fundamentals+ program.
We speak about the non-negotiables of injury prevention programs, the importance of weaving injury prevention into training, how to tailor exercises to recreational athletes vs professionals and much more.
Matt features in the 'Prevent to Perform Masterclass' for Learn.Physio. I hope you enjoy!
Founded by sports and exercise physiotherapists Mick Hughes and Randall Cooper, Learn.Physio provides health professionals with high quality, evidence-based learning experiences from wherever they are, whenever they choose. Learn at your own pace with our flexible 'on the go' format and allow our experts to help you take your knowledge to the next level. To find out more, visit www.learn.physio
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 2, in which Clinical Pearls for Graduate Physios is collaborating with Learn.Physio on some exciting topics from their Masterclass and Practical series!
Today I spoke with Loretta O'Sullivan-Pippia. Loretta is a specialist sports physiotherapist with a sub-speciality in adolescents in sport (as awarded by the Australian College of Physiotherapists in 2007). She also runs her own adolescent-specific clinic in Queensland, and so she deals with adolescent knee injuries on a daily basis!
We speak about the importance of treating the adolescent as independent to their parents, involving them in decision making, specific conditions and red flags to watch out for and much more.
Loretta features in the 'Adolescent Knee Masterclass' for Learn.Physio. I hope you enjoy!
And apologies for my audio quality in this one, for whatever reason my mic decided to play up !
Founded by sports and exercise physiotherapists Mick Hughes and Randall Cooper, Learn.Physio provides health professionals with high quality, evidence-based learning experiences from wherever they are, whenever they choose. Learn at your own pace with our flexible 'on the go' format and allow our experts to help you take your knowledge to the next level. To find out more, visit www.learn.physio
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 2, in which Clinical Pearls for Graduate Physios is collaborating with Learn.Physio on some exciting topics from their Masterclass and Practical series!
Today I got the opportunity to speak to Professor Julian Feller for my very first in person interview at Orthosport Victoria which was super exciting. Julian is an internationally recognised Melbourne orthopaedic surgeon whose main area of interest is knee surgery. His expertise covers the whole range of knee conditions from sports injuries to knee replacement. Julian is currently an Adjunct Professor in the Faculty of Health Sciences at La Trobe University and Associate Editor of the Orthopaedic Journal of Sports Medicine.
We speak about when non-operative treatment of ACL injuries might be indicated, the implications for physios depending on the graft type used, the lead up to surgery and much more.
Julian features in the 'ACL Surgery and Acute Post-Op RehabMasterclass' for Learn.Physio. I hope you enjoy!
Founded by sports and exercise physiotherapists Mick Hughes and Randall Cooper, Learn.Physio provides health professionals with high quality, evidence-based learning experiences from wherever they are, whenever they choose. Learn at your own pace with our flexible 'on the go' format and allow our experts to help you take your knowledge to the next level. To find out more, visit www.learn.physio
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Welcome to Season 2, in which Clinical Pearls for Graduate Physios is collaborating with Learn.Physio on some exciting topics from their Masterclass and Practical series!
Today I got the opportunity to speak to Jan Hartvigsen, a Danish chiropractor, physio and internationally leading researcher. Jan has a particular interest in low back pain and was deputy-chair of the landmark Lancet Low Back Pain Series that was published in The Lancet in 2018. He has authored more than 260 international peer-reviewed publications and published papers in The Lancet and British Medical Journal.
We speak about where to start with treatment for persistent low back pain, the role of psyschosocial factors, how to approach patient education and much more. It was an incredible chat and i learnt so much fro Jan.
Jan features in the 'Low Back Pain Masterclass' for Learn.Physio. I hope you enjoy!
Founded by sports and exercise physiotherapists Mick Hughes and Randall Cooper, Learn.Physio provides health professionals with high quality, evidence-based learning experiences from wherever they are, whenever they choose. Learn at your own pace with our flexible 'on the go' format and allow our experts to help you take your knowledge to the next level. To find out more, visit www.learn.physio
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I spoke with Dr Casey Peiris. Casey is a researcher, physiotherapist and lecturer out of La Trobe University with a keen interest in chronic disease management. More recently, Casey has had a particular focus on Metabolic Syndrome and has received funding to investigate the topic further.
Metabolic syndrome is something I had actually never heard of prior to interviewing Casey and I learnt so much from her. We speak about what it is, the implications on your health, it's role in recovery and niggles, where to start with treatment and much more. I hope you enjoy!
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Today I was lucky enough to speak to Scott Willis about the current state and future of physiotherapy. Scott is the National President of the Australian Physiotherapy Association, and is the first Indigenous man to do so which is pretty incredible. Scott has a great balance of overseeing physiotherapy in Australia but also being on ground level as he still works in his private practice in Tasmania. We speak about the strengths and areas of improvement of the profession, where we're headed and what the APA is working towards. This was a different but super interesting chat, i hope you enjoy it!
As always, for my Top 3 Clinical Pearls, infographics and more, check out @clinical.pearls on Instagram
For my top 3 clinical pearls, news, infographics and more, head to @clinical.pearls on Instagram!
Just a little update episode regarding some super exciting news for the rest of the year and into next year ! Thanks as always for tuning in !
Welcome back to Clinical Pearls for Graduate physios. Today I was lucky enough to speak to my colleague and self-proclaimed hamstring fanatic Michael Eshetu Mulugeta about hamstring tears.
Mike is in his 3rd year out and so is super relatable and easy to understand in our chat today. He has a keen interest in hamstring tears and I'm sure you'll walk away with a few practical tips. For my top 3 clinical pearls and more head to @clinical.pearls on Instagram!
References:
Macdonald, Pollock paper: https://bjsm.bmj.com/content/53/23/1464.abstract
Pollock paper: https://bjsm.bmj.com/content/48/18/1347.short
Today I was joined by three-time Clinical Pearls guest, Shane O'Sullivan, to deliver a very special Q+A episode on questions from you, the listener! We speak about the role of manual therapy, how to troubleshoot those clients who are quite dependent on manual therapy, the importance of education in this space and much more. For my top 3 clinical pearls, head to @clinical.pearls on Instagram, but otherwise I hope you enjoy!
https://www.clinicalxfoundations.com.au/
Today i was fortunate enough to speak with Marlena Calo on the topic of Grit, Mindset and Resilience amongst new grads and students. Marlena is super passionate about helping students and new grads grow as people and as clinicians, and is currently completing her PhD on this topic. We speak about what each of these buzzwords mean, the impacts of each characteristic on not only the individual but also their supervisors, colleagues and bosses, as well as what we can do to improve each of them. For my top 3 clinical pearls and more, head to @clinical.pearls on Instagram ! Hope you enjoy :)
Today I had the privilege of speaking to Neesha Shimmen about scoliosis. Neesha is a first year physio who is currently working in community health. Neesha’s final year project was on the topic of scoliosis, which is an area most new grads are relatively unfamiliar with so it was awesome to speak to her. We speak about assessment, the relationship between structure and function and much more. For my top 3 clinical pearls and more, head to @clinical.pearls on instagram, but let’s get into it !
Links :
Neesha's website: https://v3.pebblepad.com.au/spa/?fbclid=IwAR2q1YnoHfylYezOUeIZn4K7FtKGvcYCNSPfKr5bOIG7X4cMrec51WtlARA#/public/yqqhw778n3dfZh3jsmH7wjc4qy?historyId=O7gIKv5WLN&pageId=yqqhw778n3df3Gfsbj7M9xtZyM
Scoliosis Research Society: https://www.srs.org/
SOSORT guidelines: https://scoliosisjournal.biomedcentral.com/articles/10.1186/s13013-017-0145-8
Rebecca Harding's Facebook page (scoliosis physio): https://www.facebook.com/RebeccaHarding.ScoliosisPhysio
Today I was fortunate enough to speak with Tristan White about how to boost your self efficacy and confidence as a new grad. Tristan is a public speaker, podcast creator, author and physiotherapist who started The Physio Co. He’s had a hell of a lot of experience working with people and new grads and is really invested in this area. We chat about his experience at the Physio Co, the importance of soft skills, and the importance of building strong habits. For my top 3 clinical pearls and more, head to @clinical.pearls on instagram, but let’s get into it !
Links:
Tristan's podcast: https://open.spotify.com/show/7bG1nQuJ8ta6YbxFqAWv8w?si=9b09b9c9023248a8
Episode 94 of Tristan's podcast on purpose and profit: https://open.spotify.com/episode/0eNIrCzmzDLa7uQOMLWZwu?si=b8f431b2ffe048d0
Today I had the privilege to speak with Brooke Patterson on the topic of women’s sporting injuries. Brooke is a physio, researcher and former AFLW player in her own right. She also injured her ACL in her sporting days and so was the perfect person to speak on this topic. She helped to pioneer the Prep2Play injury prevention program to try and reduce injuries in women’s and girls sport which is an incredible feat. We chat about Prep2play, what physios can do in this space and the long term implications of injuries such as ACL injuries. For my top 3 clinical pearls and more, head to @clinical.pearls on instagram, but let’s get into it!
Links:
Melbourne ACL Rehab guide: https://www.melbourneaclguide.com/docs/ACL_Guide.pdf
Netball Knee program: https://knee.netball.com.au/
Prep2Play program: https://coach.afl/prep-play-warm
Brooke and Deirdre McGhee on Breast Injuries: https://open.spotify.com/episode/2qnf5ygFoL2XaqSZyjGWVu?si=15GV-eZpS8aG0ItMWuFmvw
Welcome back to Clinical Pearls for Graduate Physios, the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks. I’m your host, Dion Kapnias and today I was lucky enough to speak with Dr Roma Forbes on the topic of patient education . Roma is a lecturer at the University of Queensland, and also completed her PhD on how to teach students to become better patient educators. We speak about the importance of patient education, how to best deliver it and how to decide what education to deliver. I loved this chat, it’s an area that I’m really interested in so I hope you enjoy!
Instagram: @clinical.pearls
Links and references:
Louw, A., Puentedura, E. L. J., & Zimney, K. (2016). Teaching patients about pain: It works, but what should we call it?. Physiotherapy theory and practice, 32(5), 328-331.
Chicago
www.painaustralia.org.au
www.chronicpainaustralia.org.au
www.lowbackpaincommunication.com
Be sure to follow Clinical Pearls on Instagram for infographics and updates: @clinical.pearls
Shane is the director at Errol St Physiotherapy. He also co-founded our partner Foundations of Clinical Exercise, an online course that transitions the student to the clinician via masterclass style videos. Shane discusses subjective information, objective testing, return to sport criteria, a complex calf case he saw this year and much more.
To see my top 3 clinical pearls, head to @clinical.pearls on Instagram !
Be sure to follow Clinical Pearls on Instagram for infographics and updates: @clinical.pearls
Peter is a specialist sports and exercise physician and has achieved so much in his career, from authoring Brukner and Khans' Clinical Sports Medicine, to working for Liverpool in the Premier league. However his most recent passion has been around diet, including writing his own book on the topic. This was such an interesting discussion and my top 3 clinical pearls are:
- So many conditions physios see have underlying inflammation; Diet is a hugely influential lifestyle factor that cause and reduce inflammation
- The key for any diet in the long term is that it has got to keep you full and satisfied! This can be achieved through more emphasis on healthy fats and protein, not carbs and sugar
- Physios have a great opportunity to educate and influence patients; including giving education and advice around what our patients are eating.
I got so much out of this episode and I hope you do too !
Today I’m joined by Rowan Jobling to talk through his project on hip pain in dancers
Rowan is a fellow 1st year physio with years of experience in dancing, and last year completed his final year uni project on hip pain in dancers, working alongside the Australian Ballet. My top 3 clinical pearls are:
- Firstly, due to the extreme ranges of motion at the hip that dancers frequently move in to, building strength in these positions is paramount
- Secondly, dancers should focus on building strength in hip adduction, flexion, extension and external rotation, and ideally do this at least 2-3 times per week
- Lastly, dancers bodies are their livelihood, so as physios we play an important role in educating them on the importance of ongoing strength training to prevent injuries. I learnt a lot in this episode and I hope you do too!
Make sure to keep up to date with Clinical Pearls on Instagram for infographics, news and more ! @clinical.pearls
Today I’m joined by Dr Alison Grimaldi to break down GTPS.
Alison is a highly experienced physiotherapist, researcher and educator with extensive skills in the management of hip, pelvic and groin pain. She is one of the most recognised faces in this space so I was thrilled to speak with her. My top 3 clinical pearls are:
- Firstly, using a quick battery of tests in palpation, single leg stance, FADER-R, FABER and resisted abduction is a great way to objective assess GTPS
- Secondly, GTPS often comes as a result of subtle changes in load, and so our subjective history and subsequent education must be really specific and encompass how they are loading their hips throughout the day and not just in exercise
- Lastly, exercise is really important for GTPS and should be high load, move through range, and should include a focus on controlling the frontal plane during movements such as squats. Alison was super clear and concise in this episode so I’m sure you’ll get lots out of it!
Today I’m joined by Travis Kluckhenn to talk all things regarding FAI. Trav is a physio of 15 + years who specialises in hip pathologies, who also happens to be my boss. He also does some additional work and mentoring with Clinic Mastery, to help grow and teach other clinicians. His ability to educate and impart wisdom is one of the main reasons why I got him on today and it really shines through in this episode. My top 3 clinical pearls are:
- Firstly , FAI is not diagnosed simply from a scan, and the more important aspect to understand and address are the individual’s impairments and loading history , including spikes in their load
- Secondly, Educating patients on FAI is really important, and should take into account how the individual understands and values each element of the bio-psycho-social model in order to get your message across
- Lastly, strength work is super important for any person with FAI, however we must gain their trust and belief first by easing them into their rehab. I got so much out of this and I’m sure you will too!
Today I’m joined by Allison Ezzat to dive deep into hip and knee osteoarthritis
Allison is a physiotherapist and researcher who has also completed a phD in population and public health. Her research has a focus on knee arthritis, whilst she is also a tutor for GLAD Australia. My top three clinical pearls are:
- Firstly , education for patients with OA is critical, focussing on topics like how pain doesn’t equal damage, or the importance of loading for cartilage and joint health
- Secondly, scans are not required to diagnose OA; it can be done from a detailed history, functional tests and strength + ROM testing
- Lastly, Joint replacements are not a failed result; they are required for some people, however we must educate patients that they are not a silver bullet to overcome hip and knee OA. I hope you enjoy our chat!
Links:
https://scholars.latrobe.edu.au/aezzat
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks. Today I just wanted to give a quick update of some exciting news coming up in the podcast, whilst also giving a quick self reflection of my experience 3 months in as a new grad. The key info in this podcast is:
- July will be the 'Month of Hips': once a week for the month of July , a new hip -related episode will be released
- Q+A episodes in partnership with Foundations of Clinical Exercise are coming soon; head to our social media pages on Instagram to contribute your questions // @clinicalxfoundations , @clinical.pearls
- My 3 biggest takeaways from life as a new grad so far are:
- Less is more
- Listening and reassurance is half the job
- Put the power in the patient's hands
I hope you enjoy and thanks for the ongoing support!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks. Today I’m joined by Leroy McLennan to dive into strength, conditioning and exercise prescription.
Leroy is currently a rehab physio at Footscray Bulldogs in the VFL with a keen interest in strength and conditioning. I was lucky enough to spend a bit of under him on one of my placements; his attention to detail and critical thinking are second to none, and these qualities really shine through in this episode. I learnt so much from this, and my top 3 clinical pearls are:
- Firstly, 3 really important S+C concepts for new grads are the SAID principle, the Specificity / overload trade off and understanding the role of motor learning when training
- Secondly, plyometrics are a great, low equipment training option for not just athletes, but also the general population, which are often neglected in rehab
- Lastly, It’s super important to firstly determine the right goal for your client, then design your exercise dosage around this. Don’t just automatically assume they need to get stronger! I absolutely loved this and I hope you enjoy!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks. Today I’m joined by Mick Hughes to talk shop on ACL injuries in a supersized hour long episode:
Mick is an APA titled Sports & Exercise Physiotherapist who specialises in ACL injuries. He co-wrote the Melbourne ACL rehab guide and is truly one of the leading clinicians globally in ACL rehab. Mick’s wisdom shines through in this episode and my top 3 clinical pearls are:
- Firstly take the time to reassure your patients, answer their questions and give them a positive outlook on their injury; it’s not a death sentence
- Secondly, it’s crucial to implement criteria based rehab and not let time dictate your decision
- The non surgical route for rehab is definitely feasible, however caution should be taken for those who are younger or getting back to cutting sports. I loved our chat and hope you do too!
Welcome back to Clinical Pearls for Graduate Physios, the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks. I’m your host, Dion Kapnias and today I’m joined by Joyce Sekhon to talk about imposter syndrome
Joyce also finished her physio degree last year alongside me and decided to choose imposter syndrome as her topic for her final year project. Joyce does an incredible job of combining thorough research but also her personal experiences of imposter syndrome which was really interesting. My top 3 clinical pearls are:
- Firstly, get an external opinion to help you take a step back and not be so hard on yourself
- Secondly, learn to celebrate your accomplishments and not always focus on areas to improve
- Lastly, understand that the learning curve as a professional is huge, and often the expectations of yourself are higher than those from your boss or supervisor. I Hope you enjoy!
Links Joyce mentioned:
CEO who uses imposter syndrome to his benefit: https://www.ted.com/talks/mike_cannon_brookes_how_you_can_use_impostor_syndrome_to_your_benefit?language=en
The School of Life on imposter syndrome: https://www.youtube.com/watch?v=eqhUHyVpAwE
Joyce's
APA's resources on imposter syndrome: https://www.apa.org/monitor/2021/06/cover-impostor-phenomenon
Joyce's website: https://joycesekhon.wixsite.com/impostersyndrome
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks to help them in their everyday practice.
Today I’m joined by my good friend Matt Schipper to talk about his experiences as a physio patient.
Schip has had 2 ACL repairs in the last 5 years, encompassing years of rehab and plenty of experience with physios. It was really interesting to speak with him and hear about his journey, whilst it was also comforting that so much of what he spoke about parallels the advice from other guests. My top 3 takeaways are:
- Firstly, caring for and listening to your patient is absolutely the most important attribute of a good physio
- Secondly, patients get a lot out of celebrating the little wins, and it acts as a powerful motivational tool. We need to help them realise this !
- Lastly, it’s important to remember that the mental toll of long term injuries like ACL tears is the hardest part of the rehab process. I had a really good chat with Schip, and I hope you enjoy!
Make sure you follow @clinical.pearls on Instagram for updates and infographics for each episode!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks to help them in their everyday practice. Today's episode features Todd Grbac to talk about adductor muscle injuries
Todd is a fellow first year physio who is a couple of months into his physio career. He completed his 4th year uni project on adductor muscle injuries, and for someone who is so early in his career his insight into this topic is incredible. My top 3 clinical pearls for listeners are:
- Firstly, it’s important to ascertain early if there is proximal tendon involvement in the adductor injury
- Early loading of the adductors is crucial to facilitate faster recovery and return to sport
- Completing the Copenhagen adductor exercise regularly is a nice easy way to help prevent adductor injuries. I loved our chat so I hope you enjoy!
Papers mentioned by Todd:
Harøy, J., Clarsen, B., Wiger, E. G., Øyen, M. G., Serner, A., Thorborg, K., ... & Bahr, R. (2019). The adductor strengthening programme prevents groin problems among male football players: a cluster-randomised controlled trial. British journal of sports medicine, 53(3), 150-157. https://bjsm.bmj.com/content/53/3/150.abstract?casa_token=GjvHWpdsKsoAAAAA:NtaR4OY8De_1lrm0sm1fc0_OVuoFUpYsK6LYwMFgvRaDL3synNFhLfquwrQbOACYLpG2tI_Q768
Serner, A., Jakobsen, M. D., Andersen, L. L., Hölmich, P., Sundstrup, E., & Thorborg, K. (2014). EMG evaluation of hip adduction exercises for soccer players: implications for exercise selection in prevention and treatment of groin injuries. British journal of sports medicine, 48(14), 1108-1114. https://bjsm.bmj.com/content/48/14/1108.abstract?casa_token=B3CvkI8aMW8AAAAA:JnlxKpTgHGw8QMrWmKdozsbiXmmNW28Ahfiz2bgUIcHRHAVtib_pJZveUMgqMOYBIXIhQHCJf40
Bayer, M. L., Hoegberget‐Kalisz, M., Jensen, M. H., Olesen, J. L., Svensson, R. B., Couppé, C., ... & Kjaer, M. (2018). Role of tissue perfusion, muscle strength recovery, and pain in rehabilitation after acute muscle strain injury: A randomized controlled trial comparing early and delayed rehabilitation. Scandinavian Journal of Medicine & Science in Sports, 28(12), 2579-2591. https://onlinelibrary.wiley.com/doi/full/10.1111/sms.13269?casa_token=gFhPfVOlrfAAAAAA%3AJ3asuuPsvH5jSrQT0BuuYJh7lQDRYpZy2x_1Yw7ussE1Rkzl7nYc4rC-oVGOM2VVFYURdoIahPX_ewc
Khan, K. M., & Scott, A. (2009). Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair. British journal of sports medicine, 43(4), 247-252.
https://bjsm.bmj.com/content/43/4/247?fbclid=IwAR3HxUTUeOuw7EgUgu3dSbBLgjLR4tjSXRD3B_fQiU2OccXUbgilS6M_at0
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks to help them in their everyday practice.
Today's episode features Shane O'Sullivan. Shane is the director at Errol St Physiotherapy and also works as a sports physiotherapist for my beloved Western Bulldogs in the AFL. He’s had a wealth of experience in sports physiotherapy, and so I was so grateful to be able to speak to him. My top 3 clinical pearls for listeners are:
- Firstly, for athletes, their body is their livelihood and so the work you do tends to show up in their outcome which is really rewarding
- Secondly, to progress into different roles, it's about building networks, taking up opportunities, and having good mentors around you.
- Lastly, it does take a very committed clinician to work in elite sport. I really enjoyed my chat with Shane and I hope you get something out of it!
Shane is also the mastermind behind Foundations of Clinical exercise and their online masterclass series. To find out more, head to https://www.clinicalxfoundations.com.au/
Don't forget to keep up to date with Clinical Pearls on Instagram @clinical.pearls
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks to help them in their everyday practice.
Today I wanted to announce some exciting news for a new subseries of the podcast titled 'The Next Gen.' Listen on to find out more!
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Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks to help them in their everyday practice.
Sue has been the principal physiotherapist at the Australian Ballet since 1997, whilst she is also a research fellow at La Trobe Uni. She has a wealth of knowledge in this area, and it was amazing to speak with her. My top 3 takeaways for listeners are:
- Firstly, a great way to differentiate between different pathologies around the foot and ankle is to progressively expose the patient to different loads, and observe the pattern and location of pain
- Secondly, it’s important to find what your patient’s limits are, as there is no point prescribing homework if we don’t know what they’re capable of. However, the education around this is super important
- Lastly, it’s ok to do the basic things well. 3-4 exercises done with great technique and with appropriate progressions is usually better than too many which are either not done, or done poorly.
I hope you enjoy!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give upcoming and newly graduated physios key tips and tricks to help them in their everyday practice. Be sure to follow the podcast on both Facebook and Instagram (@clinical.pearls) for updates and news!
Today's episode features Tania Pizzari. Tania is a researcher and clinician who specialises in ball and socket injuries as well as hamstring injuries . She has a phD and is a member of the Shoulder and Elbow Physiotherapists for Australasia. Tania does a fantastic job of simplifying difficult concepts in this episode, and my top 3 clinical pearls are:
- Look at the shoulder from a functional lense and think : what is the head of humerus doing? What is the scapula doing? How are they moving? This is a great starting point for assessment
- Special tests of the shoulder, eg RC tests and SLAP tests, are still valuable when put into the context of the subjective and the patient in front of you
- It’s important to consider the role of the cervical and thoracic spine, as they can impact the pain and function of the shoulder.
I really enjoyed this and I hope you get plenty out of it!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give new grads and students key tips and tricks to help them in their everyday practice. Be sure to follow the podcast on both Facebook and Instagram (@clinical.pearls) for updates and news!
Today I’m joined by Tom Goom to talk about running injuries. Tom, also known as the Running Physio, is a UK based Physio who specialises in running injuries. Tom has over 15 years experience educating and treating in this field, and so I was so grateful to be able to speak with him. Tom’s insight is incredible, and my top 3 clinical pearls are:
- Firstly, Tom’s number 1 answer to find out in the subjective is the runner’s tolerance, or simply asking, 'how far can you run without pain?'
- Secondly, doing as little as 3 x 15 min strength sessions a week (at the right intensity) can improve strength and endurance for runners, which is especially useful for those who are time poor
- Lastly, patients aren't motivated by just being given a list of exercises ; they want input, control, knowledge and understanding of what and why they're doing things to give them power to make informed decisions.
I really enjoyed our chat and I hope you do too!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give upcoming and newly graduated physios key tips and tricks to help them in their everyday practice. Be sure to follow the podcast on both Facebook and Instagram (@clinical.pearls) for updates and news!
Today's episode features first year physio Sam Charles to talk about his experience so far as a new grad. Sam was employed as a graduate physio at a private practice in Melbourne early last year this year, and is just over eleven months into his physio career. It’s amazing to get Sam’s insight into what life is like as a new physio, and what he has learnt so far. Sam provides so many important clinical and non-clinical pearls in this episode, however my top 3 for listeners are:
- Firstly, The importance of not taking each patient too personally, and instead looking at the big picture of how you’re going.
- Secondly, everyone has got some form of concern or worry, not just those who we identify as having ‘yellow flags.’
- Lastly, the importance of being a chameleon, and being adaptable to the person in front of you. I can’t wait to get into this and I hope you enjoy!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give upcoming and newly graduated physios key tips and tricks to help them in their everyday practice. Be sure to follow the podcast on both Facebook and Instagram (@clinical.pearls) for updates and news!
Today's episode features Jo Kemp. Jo has a PhD which focused around the hip and groin, and is also a principal research fellow at La Trobe University. As such, I was so grateful to be able to speak with her. Jo gives a great breakdown of the assessment and treatment of the hip and groin, however my top 3 clinical pearls for listeners are:
- Firstly, the DOHA agreement is a fantastic way to differentiate different pathologies of the hip and groin through use of special tests, palpation, location of pain and muscle testing
- Secondly, we can ensure patient comfort during assessment by giving clear instructions, appropriately covering the patient, demonstrating on yourself and asking them to cover their privates
- Lastly, it’s crucial to strengthen other parts of the kinetic chain in your treatment of the hip and groin. And just a heads up, unfortunately the audio quality is a little shaky at times in this one. I can’t wait to get into this and I hope you enjoy!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give upcoming and newly graduated physios key tips and tricks to help them in their everyday practice. Be sure to follow the podcast on both Facebook and Instagram (@clinical.pearls) for updates and news!
Today's episode features Mel Haberfield. Mel is a physiotherapist for North Melbourne in the AFLW, but is also involved with both research and teaching at La Trobe University. Mel has has had the opportunity see the full scope of students' transition into a physio, and as such is an amazing person to give insight on this topic. Mel shares plenty of her wisdom, however my top 3 takeaways are:
- Firstly your main asset leaving uni should be the ability to reflect and be self-aware; the theoretical knowledge will come
- Secondly, you don’t have to do everything with a patient in one session; we can’t fix people in 20 minutes
- Thirdly, physios are in the business of behaviour change ; to change people's behaviour, you have to connect with them. I’m really looking forward to this, I hope you enjoy!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give upcoming and newly graduated physios key tips and tricks to help them in their everyday practice. Be sure to follow the podcast on both Facebook and Instagram (@clinical.pearls) for updates and news!
Today's episode features Peter O'Sullivan. Peter is a Professor of Musculoskeletal Physiotherapy at Curtin University in Perth. He has published over 280 journal articles, and is widely recognised as a leader in back pain research. Peter will share many key takeaways for new grads, however my top 3 are:
- Firstly, manual therapy can be a great way to communicate to the patient that moving and relaxing is safe and relieving
- Secondly, scans for low back pain are typically only needed if you're suspecting a red flag or something sinister
- Lastly encouraging co-contraction of the deep core muscles is counter-intuitive and not evidence based for patients who are already muscle guarding I’m really looking forward to this and I hope you enjoy it!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give upcoming and newly graduated physios key tips and tricks to help them in their everyday practice. Be sure to follow the podcast on both Facebook and Instagram (@clinical.pearls) for updates and news!
Today's episode features Ebonie Rio. Ebonie is a researcher at La Trobe University, and has a PhD in tendon pain. Ebonie has worked in many different settings, from the Australian Ballet to the Australian institute of sport, and as such is an amazing person to have as the inaugural guest on this show. Today Ebonie will share a number of key takeaways for new grads regarding tendon pain, however my top 3 for listeners are:
- How to differentiate between tendinopathies and peritendon pain
- The importance of de-loading in tendinopathies, but not resting.
- Lastly, the importance of ‘cross education’ or continuing to train your uninjured side.
I can’t wait to get in to this episode, I hope you enjoy it!
Clinical Pearls for Graduate Physios is the podcast that collaborates with experts in the world of physiotherapy to give upcoming and newly graduated physios key tips and tricks to help them in their everyday practice.
Today I just wanted to give a quick rundown of the podcast, and provide some insight as to what's to come! I can't wait to see how things unravel over the coming weeks and months and I'd love you to be a part of it!
Instagram: https://www.instagram.com/clinical.pearls/ , or search for @clinical.pearls