The Sports Medicine Project: Recent Episodes
Blake Withers and Kelly Kortick
Bi-Weekly evidence-based discussions around all things Sports Medicine. Listen in as Blake and Kelly discuss injuries, Peptides, Injections, running, performance, myths in rehab, the latest evidence, clinical anecdotes, case studies, and much more. Blake works alongside world-renowned Sport doctors within a multidisciplinary clinic and with the University as a researcher, clinical educator, Lecturer in Biomechanics and Podiatrist. Kelly is a Physiotherapist working in the private practice setting focusing on performance rehabilitation. Blake and Kelly are athletes themselves, regularly competing in triathlon, distance running and trail running events around Australia.
Addressing all the myths we hear about Bone stress Injuries and explaining the FACTS.
We're tackling a topic that’s often misunderstood—bone stress injuries. From runners to weekend warriors, many people have heard myths about these injuries that just aren’t true. In this episode, we're breaking down the myths and uncovering the real facts about bone stress injuries.
With Beau Tyrrell
https://www.instagram.com/stressfracturephysio/
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Ian Harris, an orthopedic surgeon practicing in Sydney and a Professor of Orthopedic Surgery at UNSW, has published extensively on the effectiveness of surgical interventions.
Key Discussion Points:
- Key Findings in Surgical Effectiveness
- Ethics and Improvements
- Understanding Placebo
- Persistence of Ineffective Surgeries
- Impact of the COVID-19 Pandemic
- Clinician’s Role and Informed Consent
- Diagnosis and Treatment Decisions
- PRP and Other Treatments
- Rethinking Medicine
Featured Books:
- "Hippocrasy: How Doctors Are Betraying Their Oath" by Rachelle Buchbinder and Ian Harris (2021, NewSouth Publishing)
- "Surgery, The Ultimate Placebo: A Surgeon Cuts Through the Evidence" by Ian Harris (2016, 16pt Large Print Edition)
H
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No guest this week legends,
Clinical Case reviews + Social media & Healthcare
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We chatted about the details of Lisfranc injuries and midfoot osteoarthritis
We explored the unique structures involved and why this injury is distinct.
We discussed the key steps in diagnosing a Lisfranc injury, including the essential imaging techniques. We covered the various surgical options available and what these procedures entailed.
We also addressed the potential risks of delayed intervention and the importance of foot orthoses and appropriate footwear post-surgery. We examined the common mechanisms of action leading to Lisfranc injuries and the likelihood of post-operative complications, such as post-traumatic arthritis.
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https://www.drstacysims.com/
Dr. Stacy T. Sims is an internationally recognized exercise physiologist and nutrition scientist.
- Her research focuses on female athlete health and performance, challenging existing dogma and improving research on women.
- Dr. Sims authored the book "ROAR," which explores sex differences in training and nutrition across the lifespan.
- She has been named one of the top 50 visionaries of the running industry and one of the top 40 women changing the paradigm of her field by Outside Magazine.
- Dr. Sims has published over 70 peer-reviewed papers, authored books, and is a sought-after speaker at professional and academic conferences.
- Currently, she serves as a Senior Research Associate at SPRINZ- AUT University, supervising PhD students and advising cutting-edge companies.
- Dr. Sims operates her own business, providing online learning material focused on women's training with their physiology across the lifespan.
- She resides in Mt. Maunganui, New Zealand, with her husband and young daughter, continuing her mission to revolutionize exercise nutrition and performance for women.
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Explore the intricate relationship between hormones and performance in this podcast episode. Delve into common myths and truths about hormones, particularly regarding their impact on soft tissue and bone changes as we age. Learn about the nuances of the ovarian hormone profile and its influence on training and performance, including strategies to alleviate menstrual cycle symptoms. Discover the debate surrounding phase-based training and the considerations for women using hormonal contraceptives. Gain insights into the effects of synthetic hormones on skeletal development and the importance of early training for female athletes. Explore the implications of gender differences on athletic performance and the role of training pre-puberty in skeletal development and dropout rates among female athletes. Finally, uncover the significance of high-intensity interval and resistance training for women in perimenopause/menopause and the resistance to transitioning training methods in endurance sports.
Dr. Nicky Keay
BA, MA, MB, BChir (Cantab), MRCP
Honorary Clinical Lecturer, Division of Medicine, University College London
Member British Association Sport and Exercise Medicine
Member British Menopause Society
National Institute of Dance Medicine and Science
https://nickykeayfitness.com
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Dr. Barton is a Melbourne-based practitioner and researcher specializing in sports and musculoskeletal therapy. With additional training in implementation science and communications, he contributes to physiotherapy education at Bundoora campus and conducts research on implementation science. He serves as an Associate Editor and Deputy Social Media Editor at the British Journal of Sports Medicine and is involved with the Victorian branch of the Musculoskeletal Physiotherapy Association. Dr. Barton's research focuses on knee injuries, running injuries, and implementation science, utilizing innovative digital technologies. He leads projects such as GLA:D Australia and TREK, and is a sought-after speaker and instructor on knee pain and running injury management internationally.
In this podcast episode, we delve into the nuanced world of injury risk management and rehabilitation strategies with a focus on running-related injuries. Join us as we explore key questions such as:
- How can clinicians potentially mitigate injury risk, and what does the current research suggest?
- What are the consistent risk factors for running-related injuries, and do we have effective frameworks for advising patients and clinicians?
- When is movement retraining indicated in the management of patellofemoral pain (PFP) and other running injuries, and are these changes long or short-term?
- How do tissues adapt to load, and does it make sense for uninjured runners to refrain from making changes to their running mechanics?
- What are effective frameworks and cues for providing re-training advice to patients, and how can clinicians tailor these strategies to individual needs?
- What is the current understanding of PFP, and what factors contribute to the development of this painful condition?
- How do rehabilitation approaches differ when comparing local versus distal to proximal strategies for PFP, and how should clinicians tailor their interventions based on patient deficits?
- Does the management of PFP vary between adolescents and adults, and are there specific considerations for each age group?
- Is there evidence to suggest that persistent PFP increases the risk of patellofemoral joint osteoarthritis?
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Throughout the episode, Ben provides invaluable insights and practical tips for clinicians seeking to enhance their understanding of pain, movement, and patient-centered care.
In this episode of the Sports Medicine Project, we are joined by Ben Cormack, the owner and founder of Cor-Kinetic. Ben brings over 15 years of experience in musculoskeletal therapy, rehabilitation, and exercise, with a particular focus on pain and its relationship to movement. As a highly sought-after international presenter, Ben's approach is characterized by a movement and exercise-based methodology, emphasizing patient education and a patient-centered approach.
During our conversation, we delve into the complex topic of patient beliefs and their impact on clinical outcomes. Ben shares insights into the art of addressing patient beliefs, discussing when it's important to do so, observing signs of openness, and avoiding potential barriers that may arise.
We explore the role of pain education in managing low back pain, discussing the balance between neuroscience and practical application. Ben sheds light on the concept of central sensitization and its implications for pain management, highlighting key educational points and effective analogies for patients with chronic low back pain.
Lastly, we discuss the effectiveness of different exercise modalities for low back pain, touching on the recent systematic review that favored Pilates interventions. Ben shares his perspective on the importance of patient enjoyment and adherence to exercise programs, emphasizing the need for individualized approaches based on patient preferences and fears.
Don't miss out on this engaging discussion with Ben Cormack, where we navigate the complex landscape of movement, pain, and patient beliefs. Tune in now!
Where to find Ben:
https://linktr.ee/CorKinetic
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Chatting about:
- How does structure affect the risk of injury and pathology?
- MRI detailing Type 1 and Type 2 muscle fibers and what this means for injury and performance
- ACL risk in females
- Why do females get injured more?
- When to stop running with pain?
- Should you run with pain?
- When should a navicular stress fracture go into a boot and for how long? (Corrected "aboot" to "boot")
- Approaching women's sports discussions (Changed "sprites" to "sports")
- Surfing for females in the Olympics
- Gender vs. sex
- Ovarian Hormone Profiles
Thank you for all your support 💪
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Papers referenced: Female Strength Training: https://pubmed.ncbi.nlm.nih.gov/37948036/#:~:text=These%20studies%20indicated%20that%20concurrent,were%20reported%20in%20individual%20studies.
Achilles RCT: https://pubmed.ncbi.nlm.nih.gov/36095045/
NOI group - https://www.noigroup.com/
We feature two prominent speakers: Luke Bongiorno, Director of Noigroup, and Brendan Mouatt, Accredited Exercise Physiologist.
The speakers delve into profound questions about pain, the purpose of the NOI group, and the challenges clinicians face. They explore the evolving landscape of pain neuroscience, factors influencing treatment outcomes, and the difficulty in conveying the complex nature of persistent pain to patients. The conversation extends to the empowering aspects of understanding pain's multifactorial nature and the role of the neuroimmune system. The episode promises insights into addressing pain comprehensively, bridging research and practice, and enhancing patient understanding. Tune in to unravel the mysteries of pain science and its practical applications in healthcare.
Luke acquired the directorship of Noigroup in March 2021 from the founders David Butler and Juliet Gore. His degree from The University of Melbourne, Australia, followed by a move into clinical practice in New York. In NYC, Luke co-founded New York Sports Medicine.
Luke’s extensive experience in the management of acute and chronic pain and sports injuries demands that he travel extensively to manage professional and Olympic athletes, as well as touring performing arts/dance company members. He currently serves as a consultant with the NBA League as well as European soccer professional teams. Luke is also affiliated with the clinical education programs of Columbia University and Touro College.
He has taught advanced skills courses in Manual Therapy internationally since 2004 and has been on the NOI faculty since 2015.
He is currently involved in clinical research focused on injury management and is developing guidelines for injury prevention in sports medicine and in the workplace.
Brendan Mouatt
Brendan is a practising Accredited Exercise Physiologist in Adelaide, Australia. For over ten years, Brendan has been a director of multiple private practices in Melbourne and has delivered continuing education internationally since 2016. More recently, in 2023, Brendan joined the team at Noigroup.
Brendan’s master’s research (exploring how visual sensory information influences the perception of effort during exercise) and his clinical experience working as an Exercise Physiologist in the musculoskeletal injury and pain field inspired him to pursue a PhD. His doctoral research focuses on how beliefs, behaviours, and perceptions (especially during clinical interactions) impact patients’ recovery from pain
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Steven Collins, a Physiotherapist and ASCA Level 2 Strength and Conditioning coach, delved into the intricacies of exercise prescription and programming for rehab and performance on the podcast. He addressed the challenge of appropriate dosing for patients, emphasizing the common issue of underloading. Understanding the 'why' behind exercises emerged as crucial, with insights on overcoming compliance barriers. Collins highlighted the significance of integrating strength and conditioning principles into rehab for improved patient outcomes. The conversation explored the balance between specificity and general benefit, especially in conditions like knee OA. Effective coaching, particularly for athletes, and progressing training in well-conditioned individuals were key topics. The discussion extended to cluster sets, their definition, and their role in rehab, and later shifted to running/plyo-based rehab. Considerations for power, plyometrics, agility, and COD training were explored, emphasizing the importance of retraining COD after an ACL injury and when to integrate high-speed running. The podcast provided valuable insights into advancing rehab and optimizing performance.
Steves Podcast: https://linktr.ee/rpepodcast
Socials: https://www.instagram.com/steve_liftedacademy/
Courses: https://www.thejointnundah.com/classes-programs/rehabilitation-coach-level-1-course/
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Dr Chad Cook profile:
https://medschool.duke.edu/personnel/chad-e-cook-pt-phd-mba-faptahttps://twitter.com/chadcookpt
We cover:
- Challenges in behavior change at patient-practitioner level.
- Emphasis on social norms and health policies influencing desired outcomes.
- Do Health professionals' roles extend beyond pain and function to societal and policy impact.
- Discussion on the difficulty of achieving patient compliance in rehabilitation efforts.
- Evaluation of the psychological treatment revolution and its impact on outcomes.
- Insight into language's role in patient understanding and potential treatment disparities.
- Examination of manual therapy effectiveness, potential pitfalls, and patient expectations.
- Consideration of overtreatment, overmedication, and cost-effectiveness in various treatments.
- Exploration of timing and effectiveness of manual therapy sessions.
- Reflecting on the importance of specificity in manual therapy, communication skills, and patient motivation in pain management.
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Enjoy listening our Podcast Highlights of 2023:
We can't wait for 2024! Cracking year of guests already lined up!
Brief Summary:
- Rich Willy: Emphasizes biomechanics' importance close to the ground and the impact of energy availability as you move away. Discusses the unique load distribution in the sacrum and its connection to low energy availability.
- Peter Malliaris: Challenges the notion of heavy resistance for tendinopathy management, highlighting the significance of tendon strain. Indicates that pain outcomes improve similarly with both heavy and lighter loads.
- Matt Clarke: Advises on increasing intensity by recording time tolerating high speeds and progressing intervals. Suggests a gradual shift from 90/10 to 80/20 for those struggling with speed work tolerance.
- Ebonie Rio: Explores the nociceptive drivers of tendinopathy and the role of ion channels. Discusses Haglund's morphology and calcification within tendons.
- Caitlin Daley: Addresses prolapse signs post-partum and the timing of pelvic floor exercises. Recommends starting pelvic floor exercises at six weeks post-partum for reduced dysfunction.
- Antony Lo: Advocates for tailored pelvic floor cues, functional testing for incontinence, and individual assessments before banning specific exercises.
- Keith Barr: Discusses isometrics for treating the degenerative portion of tendons, stressing the lack of robust studies on this method.
- David Hunter: Highlights trauma and repeated inflammatory processes as significant contributors to osteoarthritis, emphasizing the importance of systemic health.
Philosophical Learnings: Reflects on successful treatments resistance training for overall health, and the journey of improvement in healthcare. Emphasizes understanding, prescribing rehab based on individual needs, and the importance of words in patient communication.
The podcast covers diverse topics in sports medicine, from tendinopathy and pelvic floor health to philosophical reflections and practical clinical insights.
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G'day legends!
First 18 minutes we discuss Acupuncture for Achilles pain, Adjuncts for tendinopathy heel pain care, Big toe OA and cavus feet.
Skip to 18 mins to get straight to John Osbourne talking heel pain.
- In-depth exploration of Plantar Heel Pain (PHP)
- Examination of factors accompanying PHP, including considerations of tight calves, flat feet, and the impact of footwear.
- Insightful discussion on the nuanced relationship between exercise, pain, and movement in the effective management of PHP.
- Detailed examination of targeted exercises specifically designed for the plantar fascia, with a focus on efficacy and impact.
- Consideration of the role of faster movements in the context of PHP and their potential benefits.
- Exploration of critical movement concepts such as talar neutral position and toe posture.
- Overview of recent research findings, including a Delphi paper, with a focus on exercise variations tailored to different age categories.
- Understanding the nuanced changes individuals experience during the recovery process from PHP.
- Alternatives for resistance training for individuals experiencing irritability, including cardiovascular or whole-body training.
- Examination of the role of foot intrinsic muscle strength in PHP management.
- Investigation into the higher prevalence of PHP in middle-aged women.
- Key education points for patients dealing with PHP for a holistic understanding of their condition.
https://www.theagilefoot.com.au/publications
https://www.instagram.com/theagilefoot/
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Dam! You're all going to love this!
Welcome Dr Keith Baar.
If you see tendons in clinic, you need to listen to this!
What does Keith do? (In his own words)
The goal of my laboratory is to understand the molecular determinants of musculoskeletal development and the role of exercise in improving health and performance. To achieve this goal, we work on muscle, tendon, and ligaments from 2- and 3-dimensional tissue culture, in vivo wild type and genetically modified animals, and humans. Of particular interest are: 1) the interplay between nutrition and exercise and the mammalian target of rapamycin complex 1 (mTORC1) in the maintenance of muscle mass; 2) the role of the amino acid transceptor LAT1 in the activation of protein synthesis and maintenance of muscle mass; 3) the mechanism of ER stress-induced loss of protein synthesis and how this leads to anabolic resistance in muscle; and 4) the role of growth factors and loading on the activation of the Egr-1 transcription factor and the development and mechanics of ligaments. Our laboratory discovered that mTORC1 was activated by resistance exercise and that this correlates with the degree of skeletal muscle hypertrophy. Since then, we have focused on mTORC1 and its regulation by loading and nutrients. We have shown that: 1) mTORC1 is activated directly by load in a growth factor-independent manner; 2) a1-AMPK regulates mTORC1 activity during overload; 3) following a high fat diet the unfolded protein response, through inhibition of PKB, can attenuate mTORC1 activation; and 4) muscle signaling and protein synthesis after exercise are modified by nutritional interventions that are rich in leucine. Our laboratory has also developed a number of 2- and 3-dimensional tissue culture assays that can be used to study the effects of genes and nutrients on muscle, tendon, and ligament function. These studies have a direct clinical application and we work closely with colleagues in orthopedics, internal medicine, and the cancer center to develop resistance exercise, nutritional, and novel small molecule interventions that prevent muscle wasting from cachexia and sarcopenia and improve muscle function and quality of life.
https://www.daverenfrew.com
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Link to Dr Tim Gabbet's website
https://gabbettperformance.com.au/profile/
Welcome to our podcast featuring Dr. Tim Gabbett, a seasoned applied sport scientist with a remarkable 25 years of experience working alongside athletes and coaches from diverse sports backgrounds. Tim's expertise spans the spectrum of high-performance strategies, from effectively overloading rehabilitation and training programs to maintaining athletes' skills under pressure and fatigue. Whether you're an athlete or a coach, Tim's research and training programs offer practical and coach-friendly solutions for those striving to reach their peak performance.
What sets Tim apart is his down-to-earth approach to achieving excellence in sports, coupled with his ability to simplify complex scientific principles for coaches and athletes. As a sought-after sport science consultant, he continues to share his knowledge and insights with professional teams worldwide.
But Tim's impact goes beyond the sporting arena. He's collaborated with elite international athletes across multiple Olympic Games cycles and has extended his expertise to elite teams in the Americas, Europe, and the Asia Pacific region. His reach even extends to military, corporate, and artistic organizations, offering valuable insights on workload monitoring.
With over 200 scientific articles to his name, Tim's contributions directly enhance high-performance sports. His consultancy covers a wide array of sports, including soccer, basketball, rugby, handball, Australian football, cricket, and more. His areas of expertise encompass predicting 'preventable' injuries through training data, skill acquisition, game-specific training, and analyzing the physical demands of match-play.
Join us as we dive deeper into the world of high-performance sports and gain insights from a true pioneer in the field, Dr. Tim Gabbett.
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It's been an interesting journey learning about pain. We were both exposed to it at different times and we think about it differently. If pain has been something you've found interesting or perhaps you've struggled to understand its origins, you'll enjoy this podcast.
Book link:
https://www.noigroup.com/product/explain-pain-second-edition/
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Paper review:
Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research? J L Cook, E Rio, C R Purdam, S I Docking
We discuss this paper in length working from function and pain, tendon pathology and and we how think it comes about to describing relevant clinical elements (pain, function and structure) to begin to build a better understanding of the condition. It is a great paper with lots of clinical translation.
Paper link below:
https://bjsm.bmj.com/content/50/19/1187.short
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Listen to his Podcast below and follow him:
https://shows.acast.com/joint-action
https://linktr.ee/profdavidhunter
Professor Hunter is a rheumatologist clinician-researcher with a primary focus on clinical and translational research in osteoarthritis. He holds the distinguished title of the world's leading osteoarthritis expert on expertscape.com and serves as the section editor for UpToDate's osteoarthritis section. Additionally, he holds the position of Editor in Chief for Osteoarthritis and Cartilage, and his impressive portfolio includes over 600 publications in peer-reviewed journals.
As the co-Director of Sydney Musculoskeletal Health and leader of the osteoarthritis team at the Kolling Institute, he and his team are committed to advancing our understanding of osteoarthritis and enhancing the quality of life for individuals affected by this prevalent and debilitating condition.
Professor Hunter's research encompasses various essential aspects of osteoarthritis. This includes, but is not limited to, studying the epidemiology of osteoarthritis, utilizing imaging techniques to gain insights into structural and functional aspects for both epidemiological investigations and clinical trials, exploring innovative approaches to disease management, and improving health service systems for chronic disease management.
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Listen to his Podcast below and follow him:
https://shows.acast.com/joint-action
https://linktr.ee/profdavidhunter
Professor Hunter is a rheumatologist clinician-researcher with a primary focus on clinical and translational research in osteoarthritis. He holds the distinguished title of the world's leading osteoarthritis expert on expertscape.com and serves as the section editor for UpToDate's osteoarthritis section. Additionally, he holds the position of Editor in Chief for Osteoarthritis and Cartilage, and his impressive portfolio includes over 600 publications in peer-reviewed journals.
As the co-Director of Sydney Musculoskeletal Health and leader of the osteoarthritis team at the Kolling Institute, he and his team are committed to advancing our understanding of osteoarthritis and enhancing the quality of life for individuals affected by this prevalent and debilitating condition.
Professor Hunter's research encompasses various essential aspects of osteoarthritis. This includes, but is not limited to, studying the epidemiology of osteoarthritis, utilizing imaging techniques to gain insights into structural and functional aspects for both epidemiological investigations and clinical trials, exploring innovative approaches to disease management, and improving health service systems for chronic disease management.
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SKIP TO 14 minutes TO HEAR from Dr. Jorge Chahla.
Kelly and I discuss Kelly returning to running 4 weeks post femoral stress reaction, too... soon?
Dr Jorge Chahla is a renowned orthopedic surgeon based in Chicago, specializing in intricate knee, hip, and shoulder issues, along with sports-related injuries. He is a team physician for esteemed teams like the Chicago White Sox, Chicago Bulls, and Chicago Fire. Holding an Assistant Professor role at Rush University Medical Center, Dr. Chahla also directs the Biomechanical Research and International Fellowship Program, attracting surgeons globally.
A pioneer in innovative biologic treatments and minimally invasive approaches, Dr. Chahla's philosophy prioritizes customized care tailored to each patient. His extensive research focuses on joint preservation and cartilage restoration, resulting in numerous publications, book chapters, and presentations at global orthopedic conferences. His expertise has earned him awards like the AAOS Award of Excellence and the AOSSM Young Investigator Award, underlining his profound impact in the field
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SKIP TO 29 MINUTES TO HEAR from Dr. Jorge Chahla who is a renowned orthopedic surgeon based in Chicago, specializing in intricate knee, hip, and shoulder issues, along with sports-related injuries. He is a team physician for esteemed teams like the Chicago White Sox, Chicago Bulls, and Chicago Fire. Holding an Assistant Professor role at Rush University Medical Center, Dr. Chahla also directs the Biomechanical Research and International Fellowship Program, attracting surgeons globally.
A pioneer in innovative biologic treatments and minimally invasive approaches, Dr. Chahla's philosophy prioritizes customized care tailored to each patient. His extensive research focuses on joint preservation and cartilage restoration, resulting in numerous publications, book chapters, and presentations at global orthopedic conferences. His expertise has earned him awards like the AAOS Award of Excellence and the AOSSM Young Investigator Award, underlining his profound impact in the field
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Head back on Episode to hear Part 1 if you haven't!
Join us for an illuminating exploration of hypermobility with Dr. Taylor Goldberg, a chiropractor grounded in evidence-based practice! In this episode, Dr. Goldberg unravels the intricacies of hypermobility, delving into its effects on the body and offering effective management strategies.
Discover how hypermobility can shape diverse aspects of health and movement. Gain invaluable insights to better assist your patients. Tune in to unlock the complexities of hypermobility guided by Dr. Goldberg! 🎧💪
Also, don't miss out on her mentorship at Clinical Concepts! Check it out:
https://www.instagram.com/clinical_concepts/
And for appointments with Dr. Taylor Goldberg, follow the link:
https://calendly.com/d/d6j-7hz-qpn
- Kelly and Blake discuss:
Injury of the week
Post of the week
Person to follow for the week!
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Get ready to dive into the fascinating world of hypermobility with Dr Taylor Goldberg, a knowledgeable and evidence based chiropractor!
In this episode, Taylor sheds light on the intricacies of hypermobility, its impact on the body, and effective management strategies.
Discover how hypermobility can influence various aspects of health and movement, and gain valuable insights to support your patients. Tune in to hear the nuances of hypermobility with Taylor as your guide! 🎧💪
She is a mentor at Clinical Concept to! Check it out below
https://www.instagram.com/clinical_concepts/
You can book with Taylor below
https://calendly.com/d/d6j-7hz-qpn
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Listen through to Bronte Williamson talking everything nutrition & eating disordering.
She is the director of Nourished Not Deprived and a wealth of knowledge!
Bronte Williamson is an Accredited Practising Dietitian, Lead Dietitian and the Director of Nourished Not Deprived, graduating with a Bachelor of Nutrition and Dietetic Honours from the University of Newcastle, Callaghan.
Through previous struggles with her own disordered eating journey and young experiences with autoimmune disease struggles within her intermediate family, Bronte founded Nourished Not Deprived with the vision of supporting as much of the community through both their mental and physical health struggles.
Bronte has built a team based on the values of providing the most accessible, supportive and appropriate health care. Her practitioners are all embodiments of Nourisheds’ mission as a company, which is to be the first port of all for the community seeking optimal and intrinsically driven health care provision.
Bronte is still a practicing Dietitian however her availability is sparse. If you are looking for an appointment with Bronte for specific treatment please call the practice
Learn more about everything she is currently doing and if you know someone who may benefit from seeing her team, click below.
https://www.nourishednotdeprived.com/bronte/
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Dr Jai Kumar is a Newcastle orthopaedic surgeon specialising in disorders of the knee and shoulder. He was born and raised in Newcastle, NSW, completing undergraduate studies in Science/Law in his hometown before graduating from the University of Sydney Medical Program with Honours. He then completed his general orthopaedic training through the Australian Orthopaedic Association. During his final year, he served as the President of the Australian Orthopaedic Registrars Association (AORA).
After obtaining his fellowship, Jai travelled to Europe for a further year and a half of subspeciality training focusing on knee and shoulder surgery with a special interest in sports arthroscopy. During this time he worked with Dr Ray Moran and Dr Hannan Mullett at the Sports Surgery Clinic in Dublin, Ireland, followed by time with Professor Philippe Hardy at Hôpital Ambroise-Paré in Paris, France. In addition to this, he travelled to England, Scotland, Austria and Belgium to further solidify his knowledge.
The aim for Jai was to return from Europe with a skill set that offers his patients not only the most advanced techniques but also surgery that draws on a wide breadth of experience.
Jai’s focus in the lower limb is on knee surgery including knee arthroscopy, ACL and multiligament knee reconstruction, patellar (kneecap) stabilisation, cartilage and meniscal repair and optimisation, as well as knee replacement.
In the upper limb, Jai deals with all aspects of shoulder and elbow surgery including bursitis and impingement, rotator cuff repair, biceps tendon injuries, shoulder stabilisation surgery (for dislocations), acromioclavicular (AC) joint injuries as well as shoulder replacement.
Jai feels that a multidisciplinary approach to total patient care is imperative to obtain optimum outcomes. The role of physiotherapists, sports physicians, coaches, rehabilitation providers and other allied health personnel make up an integral part of his practice and maintaining strong and free-flowing lines of communication is the key to this.
If you want to learn more about Sports Medicine Topics, head over to the our website to read our Weekly Blog.
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Dr Jai Kumar is a Newcastle orthopaedic surgeon specialising in disorders of the knee and shoulder. He was born and raised in Newcastle, NSW, completing undergraduate studies in Science/Law in his hometown before graduating from the University of Sydney Medical Program with Honours. He then completed his general orthopaedic training through the Australian Orthopaedic Association. During his final year, he served as the President of the Australian Orthopaedic Registrars Association (AORA).
After obtaining his fellowship, Jai travelled to Europe for a further year and a half of subspeciality training focusing on knee and shoulder surgery with a special interest in sports arthroscopy. During this time he worked with Dr Ray Moran and Dr Hannan Mullett at the Sports Surgery Clinic in Dublin, Ireland, followed by time with Professor Philippe Hardy at Hôpital Ambroise-Paré in Paris, France. In addition to this, he travelled to England, Scotland, Austria and Belgium to further solidify his knowledge.
The aim for Jai was to return from Europe with a skill set that offers his patients not only the most advanced techniques but also surgery that draws on a wide breadth of experience.
Jai’s focus in the lower limb is on knee surgery including knee arthroscopy, ACL and multiligament knee reconstruction, patellar (kneecap) stabilisation, cartilage and meniscal repair and optimisation, as well as knee replacement.
In the upper limb, Jai deals with all aspects of shoulder and elbow surgery including bursitis and impingement, rotator cuff repair, biceps tendon injuries, shoulder stabilisation surgery (for dislocations), acromioclavicular (AC) joint injuries as well as shoulder replacement.
Jai feels that a multidisciplinary approach to total patient care is imperative to obtain optimum outcomes. The role of physiotherapists, sports physicians, coaches, rehabilitation providers and other allied health personnel make up an integral part of his practice and maintaining strong and free-flowing lines of communication is the key to this.
If you want to learn more about Sports Medicine Topics, head over to the our website to read our Weekly Blog.
Upgrade your clinical skills and become a patreon:
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Wrap your ears around Part 2
**Antony Lo is a physiotherapist, educator and podcast host from Australia who works at the junction of Musculoskeletal/Ortho, Sports, and Pelvic Health. He runs The Physio Detective Clinic, My PT Education, The Women’s Health Podcast, and The Diastasis Project. He helps the general public and health and fitness professionals who struggle to progress their clients by cutting through the BS and thinking outside the box so they confidently assist people to achieve their goals. Antony has a wife and 3 children, living in the best city in the world – Sydney, Australia!
Where to find Antony:*www.youtube.com/physiodetectivewww.linkedin.com/in/antonylowww.Instagram.com/physiodetective* Websites*www.antonylo.comwww.physiodetective.com*
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**Antony Lo is a physiotherapist, educator and podcast host from Australia who works at the junction of Musculoskeletal/Ortho, Sports, and Pelvic Health. He runs The Physio Detective Clinic, My PT Education, The Women’s Health Podcast, and The Diastasis Project. He helps the general public and health and fitness professionals who struggle to progress their clients by cutting through the BS and thinking outside the box so they confidently assist people to achieve their goals. Antony has a wife and 3 children, living in the best city in the world – Sydney, Australia!
Websites**
www.antonylo.com
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In this captivating episode, we continue our exploration of women's health physiotherapy with the remarkable Caitlin. Join us as Caitlin shares her extensive expertise and sheds light on various aspects of women's health, emphasizing the importance of specialized care.
From delving into common conditions to emphasizing the significance of pelvic floor health, this conversation provides invaluable insights and practical tips for women's overall well-being. Whether you're a woman seeking guidance, a healthcare professional interested in women's health, a postpartum runner, or someone dealing with female-related conditions, this episode is a must-listen.
Don't miss the opportunity to empower yourself with knowledge about women's health physiotherapy, guided by Caitlin's expertise. Connect with Caitlin on Instagram at @caitlindaleyphysio and take your clinical skills to the next level by becoming a patron of the Sports Medicine Project. Upgrade your skills and support our mission by visiting our Patreon page at the link below.
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G'day legends,
Join us in this episode as we dive into the world of women's health physiotherapy with the incredible Caitlin. With her expertise and experience, Caitlin sheds light on various aspects of women's health and the importance of specialized care.
From discussing common conditions to highlighting the significance of pelvic floor health, this conversation offers valuable insights and practical tips for women's well-being. Whether you're a woman, healthcare professional interested in women's health, runner postpartum, suffering with female related conditions, this episode is a must-listen. Tune in and empower yourself with knowledge about women's health physiotherapy with Caitlin as our guide.
Find Caitlin
https://www.instagram.com/caitlindaleyphysio/
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- Seriousness - soft tissue v bony pathology (high v low risk)
- Irritability/pain
- Goal of the race - A race? PB? Just want to get it done?
- Race characteristics
- Psychology & Archetype of person of the person
- Impact of any future events/how much rest can you have after the event
- Time
- Offload tools
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If you want to to listen to a case study discussion a week, come join our Patreon!
We change the format each week and discuss management, clinical reasoning, justification and the research surrounding it!
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Yarning about stress fractures, Telehealth, Teaching, MTSS, Mx of injuries before races and imaging.
Connor Gleadhill is a senior physiotherapist who has high level experience working with the injured athlete and managing complex musculoskeletal pain. Connor completed his Bachelor of Physiotherapy in 2012, receiving Honours and a Health Faculty Medal. Now a clinician-researcher, Connor is a current PhD candidate and lecturer at the University of Newcastle. In his research, he aims to improve patient outcomes and care value for patients with musculoskeletal pain and chronic health conditions. His clinical experience includes roles with professional sporting teams, establishing two successful physiotherapy clinics, and leading a state-wide health and wellbeing program for the New South Wales Police Force. Connor has strong diagnostic and assessment skills, and his clinical strengths are communication and therapeutic exercise prescription
From Connor himself and what he is about...
What would be the ultimate goal for your research?
Ultimately, I want my research to change the way clinicians see and treat their patients. I would love policy to reflect some of the things we know about low back pain and chronic disease management and I hope my research can expedite the process of translating this knowledge into clinical practice and unearth some novel perspectives on patient management. Putting this altogether is my ideal end-point of improved healthcare for all people suffering from low back pain and other chronic diseases.
Research and Clinical biography
Connor Gleadhill is a Research Officer at the Hunter New England Population Health Research Group.
Connor completed his undergraduate training in physiotherapy in 2012 and has held various research assistant positions from Exercise and Sports Science to Stroke recovery and rehabilitation. He is a specialist sports physiotherapist, with an interest in ACL injuries.
His recent work with University of Sydney’s School of Public Health focuses on reducing the barriers experienced in physical activity prescription by primary care staff.
Future Focus
Connor is looking to work further with primary care and community settings to improve the health outcomes of people with low back pain, musculoskeletal conditions and other chronic conditions. He is looking to work further to determine the social constructs of low back and spinal pain that are, as yet, poorly misunderstood within research and healthcare.
Dr Ebonie Rio is a post doc researcher at La Trobe University and has completed her PhD in tendon pain, Masters Sports Phys, B. Phys (Hons) and B. App Sci. Her clinical career has included Australian Institute of Sport, Australian Ballet Company, Australian Ballet School, Melbourne Heart Football Club, Alphington Sports Medicine Centre, Victorian Institute of Sport, 2006 Commonwealth Games, 2010 Vancouver Winter Olympics, 2010 Singapore Youth Olympics, 2012 London Paralympics, 18 months travelling with Disney's The Lion King stage show (Melbourne and Shanghai tour).
DEGREES
- Ba App Sci
- Ba Phys(Hons)
- Masters Sports Phys
- PhD
We recently attended Dr Rich Willys 2-day course in Melbourne talking tendon, bone and muscle!
Meet Matt, a La Trobe University graduate with a Bachelor of Applied Sciences and Masters of Podiatric Practice. Since his graduate year, he has been working in sports podiatry, collaborating with some of Australia's top athletes. Matt himself represented Australia at the Tokyo 2020 Olympic Games, providing him with invaluable experience and insight into the crucial role of podiatry in injury prevention, managing lower limb complications and improving performance.
Sport is a significant aspect of Matt's life, and he embodies this through his involvement as an athlete for Team Tempo and as a coach for the junior program. As an accredited coach with Athletics Australia, he has over nine years of coaching experience and has collaborated with four Olympic level coaches across Victoria and South Australia, both privately and through the school system.
Skip in 42 minutes to get straight to Alex!
Alex is a running physio who completed his Bachelor degree in Physiotherapy at Monash University and finished his physiotherapy degree in New York City. He specializes in high-level biomechanical assessment, using instrumented treadmills, 2D motion analysis, and force plate data to create individualized treatment programs for injury prevention and performance enhancement. He founded The Running Room to provide individuals with biomechanical and movement assessments that were traditionally only available to elite athletes. Alex also provides traditional physiotherapy modalities such as soft tissue massage, joint mobilization and manipulation, dry needling, and specific strength, proprioceptive, and mobility exercises. He has experience treating a wide range of conditions, including neck and back pain, shoulder pain, knee pain, and lower limb injuries in both the active and post-operative population. Alex has worked with elite sports teams such as the USA and Canada ice hockey teams, as well as provided physiotherapy for events such as the Gatorade Triathlon Series, Melbourne Trail Series, and Victorian Athletics events.
In this podcast episode, we discuss how he worked with Ned Brockmann during his journey of running from the west coast to the east coast of Australia. We discuss the challenges of managing injuries and pain during such a long-distance run, including the decision-making process for injury management, the use of modalities like dry needling and massage, and the role of footwear and orthotics. We also touch on the implications of this type of load on the body and the lessons that clinicians can take away from this experience.
Alex is a running physio who completed his Bachelor degree in Physiotherapy at Monash University and finished his physiotherapy degree in New York City. He specializes in high-level biomechanical assessment, using instrumented treadmills, 2D motion analysis, and force plate data to create individualized treatment programs for injury prevention and performance enhancement. He founded The Running Room to provide individuals with biomechanical and movement assessments that were traditionally only available to elite athletes. Alex also provides traditional physiotherapy modalities such as soft tissue massage, joint mobilization and manipulation, dry needling, and specific strength, proprioceptive, and mobility exercises. He has experience treating a wide range of conditions, including neck and back pain, shoulder pain, knee pain, and lower limb injuries in both the active and post-operative population. Alex has worked with elite sports teams such as the USA and Canada ice hockey teams, as well as provided physiotherapy for events such as the Gatorade Triathlon Series, Melbourne Trail Series, and Victorian Athletics events.
In this podcast episode, we discuss how he worked with Ned Brockmann during his journey of running from the west coast to the east coast of Australia. We discuss the challenges of managing injuries and pain during such a long-distance run, including the decision-making process for injury management, the use of modalities like dry needling and massage, and the role of footwear and orthotics. We also touch on the implications of this type of load on the body and the lessons that clinicians can take away from this experience.
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In this podcast, you will hear the inspiring story of Jessica Stenson, an Australian distance runner who discovered her passion for running as a child in Naracoorte, South Australia.
Her rise in Australian distance running began with victories in road and cross-country races, which led to her brave debut at the Marathon distance in Nagoya, Japan in March 2012. Jessica's performance in Japan was the fastest ever debut Marathon by an Australian woman at the time. She went on to represent Australia at the 2012 London Olympic Games, placing 39th, and then claimed the bronze medal at the 2014 Glasgow Commonwealth Games.
Injuries in 2014 and 2016 helped Jessica to train smarter and become a more resilient athlete, and she went on to finish 9th at the World Championships in London in 2017, the highest ever placing by an Australian female in a World Championship Marathon. She won her second consecutive Commonwealth Games Bronze medal at the 2018 Commonwealth Games on the Gold Coast, and in 2021, she set her current Marathon personal best of 2:25:15 in Perth, qualifying her for the 2022 Birmingham Commonwealth Games, where she achieved her long-standing dream of becoming a Commonwealth gold medallist.
Off the track, Jessica draws upon her sporting experiences and physiotherapy knowledge to encourage others to enjoy active and healthy lifestyles. Jessica attributes her success to her love of running, determination, balanced approach to training, and the strong support she receives from family, friends, her coach Adam Didyk, and training group Team Tempo. She is passionate about helping to keep the momentum going for women in sport.
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In episode 67 of The Sports Medicine Project, hosts Blake and Kelly speak with Adam Didyk about running and coaching. They discuss topics such as collaboration between clinicians and coaches, the benefits of coaches for clinicians, and strategies for progressing runners with volume and intensity while minimizing injury risks. They also touch on running retraining, the impact of sports specialization on injury risk, and how to know when to move up in distance.
In addition, they recap their recent courses and touch on topics such as overcomplicating biomechanics, stretching tendons, and knee OA
In this episode, we cover a range of topics including the menstrual cycle and how it affects performance, the satisfaction of working as a physio, the challenge of managing pain in sensitive tissues, the power and pitfalls of social media for healthcare professionals, and how personality affects language used in the clinic. We also touch on patient success stories, the importance of functional assessments, and acceptance and commitment therapy for chronic pain. Tune in for a diverse and engaging discussion on various aspects of healthcare and wellbeing.
Skip 30 minutes in to get straight to Dr Mallirias.
Find out everything about corses and Dr Peter Malliaras https://www.tendinopathyrehab.com
Dr. Mallirias has been an active researcher in the field of tendinopathy for the past 15 years and obtained his PhD in this area in 2006. His extensive experience and knowledge make him a valuable guest, and we are grateful to have him on our show. Welcome, Dr. Mallirias, and thank you for joining us!
Join us for part 2 talking everything Tendinopathy and if you like the content, leave us a 5 star review!
Sports Medicine enthusiasts, brace yourselves for an exciting episode! Our guest today is none other than the renowned tendon expert, Dr. Peter Mallirias. With over 120 publications to his name, Dr. Mallirias is someone we have been eagerly following and learning from for a while.
As a student, I remember reading his review "Achilles and Patellar Tendinopathy Loading Programs" in the Sports Medicine Journal, and now I have the opportunity to have a conversation with him about everything tendon related. It brings back memories of my belief that tendons needed to be stretched because they were tight and that was the cause of the pain. But hopefully, today we'll shed some light on this topic.
Dr. Mallirias has been an active researcher in the field of tendinopathy for the past 15 years and obtained his PhD in this area in 2006. His extensive experience and knowledge make him a valuable guest, and we are grateful to have him on our show. Welcome, Dr. Mallirias, and thank you for joining us!
We also discuss a range of topics related to tendons including the current understanding of load-dependent tendinopathies, efficiency in clinical life, return to racing post MTSS, running injuries, and the translation of research to clinical practice. We'll also be exploring important questions such as rehab fatigue and when it's appropriate to take a break from rehabilitation. Don't miss this exciting discussion!
In today's episode, Kelly and Blake delve into a diverse array of topics, including pain, Baxters nerve, plantar heel pain, running cadence, and communication strategies with patients. Join them as they share their clinical insights and opinions, grounded in the latest research and their current understanding.
Get ready for a jam-packed episode!
Kelly sits down with Dave Renfrew to discuss why it's not all about just getting strong. We often talk about load tolerance and capacity building, but what about the patients this doesn't work for? How do we move beyond this and what other conversations do we need to be having to get better outcomes with patients dealing with painful problems.
We delve into the world of injuries and strength training, and how to properly approach training programming with limited time. Plus, a deep dive into peritendons and case studies on insertional achilles injuries. And to round it all off, we'll explore the importance of listening to those outside of our usual circles for a well-rounded perspective on fitness. Tune in now!
Off and running!
Adam Didyk, the Athletics Australia Pathways Transition Lead, Australian Olympic Team Coach (Athletics - Endurance) Tokyo 2021, and SA Performance Advisor, was our most recent guest. He shared his journey as a coach and the lessons he's learned along the way. He believes in a holistic approach to not only training but also the athletes' careers and family life.
We answered some of the questions..
Do you have any key training philosophies that you tend to stand by?
Can you explain the different systems involved in running such as the anerobic and aerobic?
What actually happens with lactate and what is lactate clearance?
How can we generally train these systems?
I have heard you speak about the use of RPE with your athletes, can you speak to monitoring training intensity and overall load using RPE?
What strategy do you recommend runners to use when monitoring their own training load? Rpe, zones, etc.
He is the coach of the recent Commonwealth games and Awarded the Australian Sports Medal Jess Stenson
You can find him @adamdiyk and @teamtemporun
Get ready to learn from the best! Tune in to hear Dr. Rich Willy talk about bone stress injuries and how to prevent them. Don't miss out on valuable insights and expert advice from one of the leading sports medicine specialists in the field. This is a must-listen for athletes, coaches, trainers, and anyone looking to stay injury-free. Tune in now!
Go back an episode if you missed part 1. If you've already listened to that, enjoy this episode!
Skip in 26 minutes to get straight to Dr Rich Willy! Otherwise listen to Kelly and Blake talk about the high's and lows of clinical practice and some of the gems from the conversation with Rich.
This podcast is a focuses on the prevention, diagnosis, and treatment of bone stress injuries, particular in runners and general population.
Dr. Richard Willy is an Associate Professor at the University of Montana's School of Physical Therapy and Rehabilitation Science. He obtained his PhD in Biomechanics and Movement Science from the University of Delaware and has been a clinician for over two decades. His research focuses on developing effective treatments for individuals with patellofemoral pain, Achilles tendon injuries, and bone stress injuries, specifically in endurance runners and tactical athletes such as soldiers. His work has been funded by the US Department of Defense and the Foundation for Physical Therapy.
An insightful podcast for clinicians and athletes. Reg talks everything running:
- marathon training
- the pillars of recovery
- training blocks leading into races
- the incredible impact of a good run club
- injuries and injury management
- running for longevity
- pregnancy and returning to running post-partum
We kick the podcast off with discussions around managing bookings in holiday periods, how to greet initial patients and problems with research.
Sam talks everything football boots. He consults to elite soccer teams and knows more about boots than most!
There are some clinical pearls in here. I purchased one of the contraptions he uses straight after the podcast which I use weekly. Incredible insight.
Blake and Kelly talk for the first 40 minutes
Is power to weight a thing in endurance sports?
The Good feet store....
Does footwear knowledge have a ceiling?
How long do we wait to see someone after the initial appointment?
The psychology of children and how we manage their pain
Where do we ever get any formal education on football boots?
Sam talks everything football boots. He consults to elite soccer teams and knows more than anyone when it comes to boots. There are some clinical pearls in here. I purchased one of the contraptions he uses straight after the podcast which I use weekly. Incredible insight.
Enjoy part 1!
The first 32 minutes we (Kelly and Blake) talk about MTSS and footwear, pausing in your patient interactions, how we be direct, understanding sometimes it's better for your colleagues to see your patients, how our words matter and how we can ask more about systemic diseases when we see hypermobile people in the clinic..
Link to Sams instagram:
https://www.instagram.com/thatfootballpodiatrist/
We delve into the following topics!
You can always learn from people who have a different way of treating and thinking!
People can see the ‘barefoot’ content as polarising where people say all pain is caused by wrong fitting shoes and then associated that with you, which we know there is more to it than that. For the listeners, what are your principles for your way of practising?
What is the most common pathology you see and how do you tend to manage it?
How do you use orthosis in your clinical practice and what is your general advice with them?
What evidence and thinking are behind your ideas that standard footwear is harmful?
I think a lot of people from a lack of knowledge of footwear, probably don’t know a lot about which shoes to recommend in the minimalist category. Can you talk much to a few different shoes you like and what categories they sit in? E-g work boot, ladies dress shoe, walker, runner.
How do you them educate people on their use?
I also wanted to ask how you use these therapeutic, I will be the first admit I use rockered, cushioned shoes for forefoot conditions if I can identify that the bending forces/plantar compressive load is the provocative load, do you still recommend footwear that is flat, flexible, and low cushioned for those kinds of conditions?
How can we strengthen our feet? For the general population person and the athlete.
Do you have any peals or gems regarding exercise therapy for foot/ankle? There is some good research for the short foot exercise.
I want to pick your brain, what do you think the conventical podiatrist can learn from your treatment philosophy?
How can clinicians educate, and people transfer to more minimal shoe? I understand the risk is people can be worried about injuries and pain, rightly so. An example of someone with heel pain or shin splints, fully recovered and now worried about always needing support
Tell me about bunions, what’s your take and how do you explain them to patients?
We are all people who need continue to learn, regardless of what we know now.
It seems an easy way to become a better person, clinician and athlete is to be open-minded. We first met Andy (via Instagram), where we instantly had someone who was to challenge a lot of what we had learned at an undergraduate level and as a new graduate.
Now, knowing each other for several months, I have had successful outcomes clinically from information you will get from this podcast and information I have gotten from Andy. This episode reinforced why we do this podcast, to gain a better understanding of all things related to health and Sports Medicine. I am better clinician as a result and I hope you will be better armed with information to, after listening to this.
Skip 21 minutes in to miss all the chat with Kelly and I and straight to Ians episode!!
You're going to enjoy this!
Ian is passionate about helping people enjoy their chosen sport and achieve their goals; and pain/injury management is a key part of this. A keen runner himself (currently chasing a sub 19min 5k and a sub 90min half marathon) he also enjoys playing golf and being kept busy by his two young sons. He understands how important it is to health and wellbeing to be able to stay active and exercise regularly, whatever your level of ability or participation.
Ian followed his first degree in Podiatric Medicine with a postgraduate certificate in Sports Podiatry, and then a Masters degree in Sports Injury. He was subsequently awarded Fellowships in Podiatric Medicine by both the Royal College of Podiatry and the Royal College of Physicians & Surgeons of Glasgow. He continues to publish research and also act as a peer reviewer for several sports injury and physical therapy journals. Ian has spoken at conferences worldwide on the topics of lower limb biomechanics and foot orthoses, and is also a lecturer in Sports and Exercise Medicine at Queen Mary University of London, leading the biomechanics module on the MSc degree. He is also an adjunct lecturer on the Doctor of Podiatric Medicine degree at Monash University in Melbourne, Australia.
Ian has provided sports podiatry services to the PGA European Tour, RFU England Rugby 7’s squads, Surrey County Cricket Club, Great Britain Men’s Hockey team, AFC Bournemouth and Arsenal Women FC. He was previously a member of the medical team for the Silverstone Half Marathon and was also based inside the athletes’ village as part of the medical team for the London 2012 Olympic Games. However, one of his greatest joys is being able to help amateur sportspeople be fit, healthy and resilient.
How do you work out peoples goal?
Does it matter if people are in pain if they can be doing their meaningful activity?
Most people see us not for pain, but because their pain is stopping them from doing their meaningful activity.
How do we work out what people want and how to plan for that?
In most cases, a few questions will display their immediate goal and if you have the ability to show them you understand that, your outcomes and patient satisfaction will have a better outcome...
Patient, student and clinical resource.
Skip 10 mins to get to TENDONS (:
So.. you’ve got Tendon pain? What does it mean? Everything Tendon management.
Broad topics and concepts
General consult with tendons
What happens when you get a tendinopathy and why?
What can we do about it and why?
Causes?
Treatment?
Recommendations
It’s not just active people that get tendon pain. Everyone can get it.
This podcast is a resource for patients, students and clinicians.
We’re going to run through things in a logical order, similar to a consult. Field and answer the common questions we get asked and why.
Skip 22 minutes in to get straight to the episode with Dr Steven Kent
Enjoy Pt 2 with Dr Steven Kent
Link to Future Health Network course details:
https://www.eventbrite.com.au/e/pain-in-performance-sydney-tickets-419973450897?aff=esfb&utm-campaign=social&utm-content=attendeeshare&utm-medium=discovery&utm-source=fb&utm-term=listing&fbclid=IwAR3mNwZlQ4Zr_LKojjRKZNrAR5I1t869SbNaTksavkWz1BPGe6TPKtmVA58
Dr Steve Kent
Foot & Ankle orthopaedic surgeon
The ACL of the ankle (High Ankle Sprains & Syndesmosis injuries)
Dr Steven Kent talking everything high ankle sprains.
- What imaging is most appropriate?
- What are consequences if you miss it clinically?
- How do you manage them?
- How do they present?
- What happens in surgery?
Want to become a better clinician? Come joint over 400 people at the Future Health Network.
https://www.facebook.com/groups/1791557071152851/
The big question we get about imaging.
When is imaging important?
When does it matter?
Do we always have to refer?
We talk about the concepts we teach people to think about, they're worked for us
Hamstrings rehab, treatment and management!
++ Sydney Marathon rep
Part 1 of our conversation with Nikki Manvell on proximal hamstring tendons. We also chat about running and the Blackmores Running Festival which was on today, which all 3 of us raced in!
Nikki is an APA titled musculoskeletal physiotherapist working clinically at @numovesphysio and @newcsportsmed. Nikki has a clinical interest in proximal hamstring tendons and shares her knowledge with us here with lots of great clinical pearls for everyone! 🎉
Part 2(:
We welcomed back Michael Nitschke for Part 2. Acclaimed podiatrist and passionate runner.
With a decade of clinical experience in private practice and exceptional anatomy and biomechanics knowledge Michael now specialises in the diagnosis and treatment of running injuries.
As an accomplished track athlete Michael is well versed in working with amateur, junior and elite athletes. However Michael’s passion for the sport has grown beyond that of just the competitive side. Michael is now committed to growing the entire running community in South Australia by providing an innovative running service accessible to all runners, recreational and elite.
Our instagram link is below: https://www.instagram.com/thesportsmedicineproject/
If you want to learn and become a better clinician (400 members), head over to join our Facebook group:
https://www.facebook.com/groups/1791557071152851
Welcome to our first edition of the STUDENT EDITION!
This episode we focused on the ways in which you can make the most of your student life and how that can help you become a weapon clinician in the future!
Our favourite so far!
Part 1 (:
We welcomed Michael Nitschke! Acclaimed podiatrist and passionate runner.
With a decade of clinical experience in private practice and exceptional anatomy and biomechanics knowledge Michael now specialises in the diagnosis and treatment of running injuries.
As an accomplished track athlete Michael is well versed in working with amateur, junior and elite athletes. However Michael’s passion for the sport has grown beyond that of just the competitive side. Michael is now committed to growing the entire running community in South Australia by providing an innovative running service accessible to all runners, recreational and elite.
Our instagram link is below: https://www.instagram.com/thesportsmedicineproject/
If you want to learn and become a better clinician (400 members), head over to join our Facebook group:
https://www.facebook.com/groups/1791557071152851
Myself, Justin and Dave from the Future Health Network discuss the actual topics and points for people who think lifting with a flexed back is bad?
We hear it all the time. Have a quick listen as we try to approach the topic with some valid points. Hopefully you'll have some valid points to discuss when a patient or colleague asks if its something you should stop doing.
Our instagram link is below: https://www.instagram.com/thesportsmedicineproject/
If you want to learn and become a better clinician, head over to join our Facebook group:
https://www.facebook.com/groups/1791557071152851
We cannot wait to share our conversation with Simon Bartold; performance footwear consultant, researcher, educator, mentor, innovator and the owner of Bartold Clinical.
In this episode, we covered so many exciting topics that had us buzzing in our seats! Including, are super shoes dead? And what is a hyper shoe!? 😮
Simon tells us about the important role of his clinical practice as a Podiatrist influencing his work today in footwear innovation. As well as the important conversation surrounding sustainability in footwear. 🌵
We already can't wait to relisten to this episode. There is something in here for absolutely everyone and definitely not one to miss! 🎉
Part 2 - A cracker episode today with Sports Dietitian, Kelsey Tobin from Nutrient Nation. In this episode we cover, the FODMAP diet (pros and cons), Irritable Bowel Syndrome (IBS) and groups that would benefit from the FODMAP diet. We also dive into nutrition for performance and how a FODMAP diet may be helpful in relieving gut upset in athletes leading up to major events. This was a great episode and we know you will get heaps out of it!
Kelsey is a triathlete and well attuned to the relationship between nutrition and sports performance. Since completing her Bachelor of Nutrition & Dietetics at the University of Newcastle, Kelsey has worked as a dietitian conducting online nutrition consults, has delivered corporate employee wellness programs, and has provided nutrition support to the Australian Rugby 7’s team.
https://nutrientnation.com.au/
IBS and FODMAPs for athletes E-book when it is released! https://mailchi.mp/44d786e85559/0mlqg87p92
A cracker episode today with Sports Dietitian, Kelsey Tobin from Nutrient Nation. In this episode we cover, the FODMAP diet (pros and cons), Irritable Bowel Syndrome (IBS) and groups that would benefit from the FODMAP diet. We also dive into nutrition for performance and how a FODMAP diet may be helpful in relieving gut upset in athletes leading up to major events. This was a great episode and we know you will get heaps out of it!
Kelsey is a triathlete and well attuned to the relationship between nutrition and sports performance. Since completing her Bachelor of Nutrition & Dietetics at the University of Newcastle, Kelsey has worked as a dietitian conducting online nutrition consults, has delivered corporate employee wellness programs, and has provided nutrition support to the Australian Rugby 7’s team.
https://nutrientnation.com.au/
IBS and FODMAPs for athletes E-book when it is released! https://mailchi.mp/44d786e85559/0mlqg87p92
G'day legends!
Exciting news. This episode is our first of many episodes with the Future Health Network. Myself (Blake Withers), Dave Renfrew and Justin Smith are apart of the Future Health Network (look us up on Facebook) which is in short:
A tribe of intelligent, compassionate and well-rounded clinicians who want to get better. Simple as that.
We looked to answer two questions today:
-
How do we know pain is more than just biomedical? Examples likes my flat feet caused my pain, I’m not flexible enough or my knee has OA on X-ray so that must be the cause of my pain
-
How can we as health professionals show our patients that this is the case (as in more then just biomedical)? We don’t need to convince them we know there pain better than them or that what they think is wrong, but it does help for the patient have a better understanding which ultimately has some benefit.
So how do we show them that?
If you want to learn and become a better clinician, head over to join our Facebook group:
https://www.facebook.com/groups/1791557071152851
How do we approach one of the most common pathologies in health?
Plantar heel pain or plantar fasciitis effects up to 1 in 10!
That's an absurd amount. Listen as we talk through what we would generally do. All cases are different but speaking generally, there is opportunity of application of the same therapies to multiple patients.
Our instagram link is below: https://www.instagram.com/thesportsmedicineproject/
If you want to learn and become a better clinician, head over to join our Facebook group:
https://www.facebook.com/groups/1791557071152851
We reviewed a new paper that has recently come out titled: 'Effect of Ultrasonography-Guided Corticosteroid Injection vs Placebo Added to Exercise Therapy for Achilles Tendinopathy, A Randomized Clinical Trial'.
Cortisone has long been avoided for the management of tendinopathy. This paper explains that maybe that idea isn't as well supported as we thought. However, this paper still holds a few limitations which make us question whether this is enough to change our current management.
Take a listen, I think you'll be surprised of the results...
Pen and paper ready! Part 2 is here (:
New Balance are one of the most popular shoes manufactures in the world. Their innovation and attention to detail is second to none. We were lucky enough to have Matt Spicer from New Balance on for todays Podcast talking everything under the sun New Balance and what's on the horizon.
I have to admit, I am excited for their next course of super shoes. We also heard some exciting news about the plan for shoe sustainably in the future.
Our instagram link is below: https://www.instagram.com/thesportsmedicineproject/
If you want to learn and become a better clinician, head over to join our Facebook group:
https://www.facebook.com/groups/1791557071152851
Pen and paper ready!
New Balance are one of the most popular shoes manufactures in the world. Their innovation and attention to detail is second to none. We were lucky enough to have Matt Spicer from New Balance on for todays Podcast talking everything under the sun New Balance and what's on the horizon.
I have to admit, I am excited for their next course of super shoes. We also heard some exciting news about the plan for shoe sustainably in the future.
Our instagram link is below: https://www.instagram.com/thesportsmedicineproject/
If you want to learn and become a better clinician, head over to join our Facebook group:
https://www.facebook.com/groups/1791557071152851
Want to become a better clinician? Join the Future Health Network.
https://www.facebook.com/groups/1791557071152851
In todays episode we welcome Dr Katie Schofield from New Zealand to enlighten us on all things Relative Energy Deficiency in Sport. Katie completed her PhD in Low Energy Availability (LEA) and Relative Energy Deficiency in Sport (RED-S). Her knowledge spans across exercise physiology and socio-psychology. Katie is also a registered nutritionist and former international elite track cyclist.
In this episode we discussed:
- What is RED-S and low energy availability (LEA) and how does it happen?
- What are the symptoms of RED-S?
- Does it just happen in elite athletes? Hint.. it doesn't!
- What can we do about it? As a patient or as a health professional?
- What does the research say, and where are they gaps in research? i.e what can we look forward to seeing from the research in the future?
Enjoy!
We loved this chat about two common knee injuries. We see them in runners, athletes, kids and the general population. It follows on from our recent discussion about if we need a diagnosis or can we call these conditions exercise induced knee pain or load related knee pain? When would it change our management and do we need to get specific?
We cover pathophysiology, assessment, differential diagnosis, treatment, running mechanics, shoes and what the evidence says. Enjoy!
WE ARE BACK AGAIN!
Justin Smith joins us again.
Talking all things foot orthosis. I will keep it short.
This is our bias, hope it challenges yours. We are very open to have people on who don't agree, we only all want to get better with our orthotic prescription, management and understanding.
Good your notepad and google drive ready!
This episode has some incredible insight and learnings!
Future health network: https://www.facebook.com/groups/1791557071152851
Instagram: https://www.instagram.com/thesportsmedicineproject/
Dr Steven Kent's YouTube channel
https://www.youtube.com/c/TheFootAnkleOrthopaedicSurgeon
Dr Kent is an orthopaedic surgeon operating in Newcastle and Lake Macquarie. He is locally & internationally trained, specialising in surgery of the foot & ankle and orthopaedic trauma. Dr Kent completed his orthopaedic training in Newcastle, from 2014-2018 via the Australian Orthopaedic Association (AOA) Training Scheme. He subsequently attained Fellowship of the Royal Australasian College of Surgeons (Orthopaedics) in 2019.
Following completion of his training, Dr Kent undertook a foot & ankle fellowship at the Mater Hospital in Brisbane, QLD under the tutelage of Dr Ben Forster & Dr Michael Lutz. Dr Forster is well known nationally for his surgical expertise in managing sports injuries of the foot & ankle, including elite athletes of professional sports teams such as the Brisbane Lions, Gold Coast Suns, Queensland Reds, and North Queensland Cowboys. Dr Lutz has published extensively in the field of syndesmotic injuries.
Following his time in Brisbane, Dr Kent travelled to work at the internationally regarded St Michael's Hospital in Toronto, Canada. St Michael's hospital is a Level I trauma cente and located in the 2nd biggest city in North America. Here Dr Kent undertook a trauma, arthroplasty & lower limb reconstruction fellowship. In addition, he had the opportunity & privelige to work with Dr Tim Daniels, regarded as one of the top foot & ankle surgeons in North America, and an expert in total ankle replacement. Dr Kent is a reviewer of journal articles for both the Journal of Orthopaedic Surgery and Foot & Ankle Specialist journals.
We planned to talk about shin splints...
Instead we talked about whether you need a dx. Remember, there is always more nuanced to the conversation but we agreed to disagreed. In some cases, it might be easy to give a dx, but is it required?
This is something we go through every day as clinicians!
FORGIVE THE AUDIO.
This was an episode that I will remember for a long time. I remember learning about his contribution to the podiatry world in University and now I am teaching it. It was a real honour! I still use his famous Kirby Skive in my clinical practice!
Dr. Kevin Kirby graduated from the California College of Podiatric Medicine in 1983 and completed his first year surgical residency at the Veteran's Administration Hospital in Palo Alto, California. He spent his second post-graduate year doing the Fellowship in Podiatric Biomechanics at CCPM where he also earned his M.S. degree.
Dr. Kirby has authored or co-authored 28 articles in peer-reviewed journals, has authored or co-authored six book chapters, and has authored four books on foot and lower extremity biomechanics and orthosis therapy, all of which have been translated into Spanish language editions. He has invented the Subtalar Joint Axis Palpation Technique, the Anterior Axial Radiographic Projection, the Supination Resistance Test, the Maximum Pronation Test and the Medial Heel Skive and Lateral Heel Skive Orthosis Techniques. He has also created and developed the Subtalar Joint Axis Location and Rotational Equilibrium Theory of Foot Function and has co-developed the Subtalar Joint Equilibrium and Tissue Stress Approach to Biomechanical Therapy of the Foot and Lower Extremity. He has lectured internationally on 44 separate occasions in China, Spain, Belgium, New Zealand, Australia, England, Dominican Republic and Canada over the past 27 years on foot and lower extremity biomechanics, foot orthoses, and sports medicine. He has also lectured extensively throughout the United States.
Dr. Kirby is a member of the editorial advisory board for the Journal of the American Podiatric Medical Association and a manuscript reviewer for the Journal of Biomechanics, Journal of Foot and Ankle Surgery, Medicine and Science in Sport and Exercise, and Journal of Foot and Ankle Research. He is currently an Adjunct Associate Professor in the Department of Applied Biomechanics at the California School of Podiatric Medicine and has a full time podiatric biomechanics and surgical practice in Sacramento, California.
Healthcare Leadership Podcast Presented by ReferralMD
A go-to resource for increasing your healthcare practices efficiency and revenue.
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G'day legends!
Todays episode is two cracking case studies on Sesamoiditis & Knee Osteoarthritis. We talk everything we did, management and treatment.
Listen in so you're prepared for your next patient! These are bloody common and typically do get mismanaged!
A great chat with Alicia Edge from Compeat Nutrition about sports nutrition. This episode is full of great information regarding training for performance, RED-S and LEA and how clinicians can get better at identifying or flagging when a referral to a dietitian may be indicated as well as how to generate that referral.
RED-S doesn’t just happen to elite athletes, it can happen to recreational athletes and even in the general population and the issues that arise can be extensive. Listen in to understand it better for yourself as an athlete, a coach or a clinician.
We had so many questions and Alicia had a whole lot of knowledge to share so we will definitely be back for a part 2!
A great episode discussing foot and ankle operative and non-operative management options. We were very lucky to gain the knowledge and expertise from Dr Ahmad Malik, London Foot and Ankle Surgeon.
Dr Ahmad Malik has a particular interest in sports injuries, trauma and complex foot deformities and believes in treating patients surgically only when all other measures have been attempted.
In this episode we cover achilles ruptures, forefoot management, orthotics, bunion management, running, ankle management and communicating with other stakeholders.
We know you will get so much out of this episode, we certainly did!
Today's episode we talk on many topics.
Don't mind the audio for the first few minutes - still figuring the mics out...
We added a new segment into the podcast. You guys have to head over to the instagram and send us a question/case study/Clinical quesiton and we will answer it. Anything goes, as long as it sits within the musculoskeletal system.
Instagram link: https://www.instagram.com/thesportsmedicineproject/
Hope a cracking week legends!
Can shoes prevent injury? Have a listen to hear our thoughts!
Spoiler alert! Probably not, but that can be very useful for other aspects of injury management. In this episode we chat footwear and how you can start to think about prescribing shoes/shoe characteristics for particular injuries and foot types. We go through some real cases to get you thinking and talk through our clinical reasoning for the decisions we make regarding shoes. We think you will get a lot out of this if you are a clinician of any description, an athlete, coach or patient!
https://www.instagram.com/thesportsmedicineproject/
How to build back from injury and how to build your running in general.
It's a simply concept I think both clinicians and patients are able to understand. Remember - it's not a race. Longevity of running should be the goal, not getting back two weeks earlier. The biggest risk factor for Injury is a previous injury. Ask yourself, is a few weeks really worth it?
Follow the concept.
1. Frequency
2. Volume
3. Intesntiy
Its worked for me and I think it will work for you.
Can we use wearable technology to be better clinicians in practice? 👩🏼⚕️
How do we get better at interpreting the data for athletic performance? ⛹🏻♂️
We think wearable technology can improve your performance when used with the right knowledge, which you will get from listening in to this podcast! 🎤
We learnt so much during this chat, we know you will too! 🤸🏻♀️
“Sian has spent over 10 years providing sport science support to athletes and coaches in Olympic, Paralympic and professional sports across high performance environments in Great Britain and New Zealand. She obtained her PhD in statistical modelling of sports performance data from AUT University while working with Swimming New Zealand.
Sian then took up a strategic role as Performance Intelligence Manager with Paralympics New Zealand into the Rio 2016 Games. She now combines data analytics with the latest in technology and scientific research, working as a Research Manager in the Product Innovation team at Lululemon Athletica.”
This one is for the clinicians and students!
G'day you made snakes,
Today's episode is short and sweet with Justin Smith. Justin is a clinical educator, Podiatrist and absolute weapon of a teacher.
We are talking about the review appointment. The appointment after the initial. This is a common one that people tend to get stuck with.
I understand though, we think as long as things are improving, we don't need to change and if things aren't improving, then we change but its not a great framework to think about and it doesn't encompass all the possible outcomes.
What's up rockstars? We are back to our normal schedule!
How sure are you strength training helps reduce or even prevent running injuries?
There isn't a lot of research out there, I mean... logically it make sense but when we try to create the conditions for it to be true, we don't see it. Don't get me wrong, we both prescribe regular strength training to all of our patients, not just our running patients.
I hope you all do.
We went long on this one - we really had some agreement but we also had a fair amount of disagreement and we talked a lot about where the research is at this stage.
Remember to rate and leave a comment on Apple Podcasts and Spotify.
Follow us on Instagram: https://www.instagram.com/thesportsmedicineproject/
We also started an email list where we will send out a research review every 2 weeks so you don't have to try and find out what is the latest in Sports Medicine!
https://docs.google.com/forms/d/1HbKshoasLzSA4T_ctP8oO65QzdQN_Gf6rrHG8AbEvIg/edit
WE did it! This episode is special to us as we hit our milestone that we set out when we started. We said would reevaluate if it is worth continuing and due to the response from you all, we definitely are!
Episode:
How confident is your understanding of Compartment Syndrome?
The knowledge about lower leg chronic exertional compartment syndrome (CECS) is largely obtained from highly selected populations. Patient characteristics may therefore not be appropriate for the general population.
Exercise-induced lower leg pain may be caused by chronic exertional compartment syndrome (CECS). Anterior or deep posterior compartments are usually affected.
We talk about a few case studies of ours recently and about our management and roadmap to diagnosis.
We have also started up an email list where we review new research and its clinical application. Head over to our Instagram bio and hit the link to sign up (:
VERY excited to get this episode out there!
Training considerations for the female athlete. This is relevant to clinicians, coaches and male and female athletes. The new and taboo topic of menstrual cycles and sex differences. Is it really that relevant? Do I really need to consider this with training or when rehabbing the female athlete? The answer is YES!
What are the current issues?
Why should we consider the menstrual cycle more as clinicians, coaches and athletes?
How should you periodise training around the menstrual cycle?
What advice can I give patients?
And how can we start to have more of these conversations?
Alright you legends.
We've got some feedback and we have delivered. Reading and interpreting research can be hard and time consuming. We have done the work for you. 'Dutch multidisciplinary guideline on Achilles Tendinopathy' has been published in BJSM and is one of the most in depth studies on Achilles Tendinopathy. Of course, it isn't without its faults but it has plenty of clinical pearls.
As a clinician, you need to be keeping up with this. It is important to update your clinical knowledge consistently as protocols change. Remember, several years ago it was thought that stretching was evidence based treatment for tendons, now we know it's not.
Be sure to follow is on instagram and if you learn anything, hit the 5 star review.
We're back for Part 2.
Dave Renfrew is a weapon of a physiotherapist, mentor, content creator, clinic owner and educator. In this episode we discuss pain education and the difference between what we as clinicians know, and what the patient needs to know to get better. We answer questions of how we think about pain, how to better address pain and what we could all do better as health professionals.
This information is for everyday clinical practice and can be applied to every single patient you see. If you are not a clinician, this podcast might get you thinking on a deeper level about what you understand about pain and injuries.
We have decided to split this podcast into two parts (this is part 2) as there is just so much to go into and explore when we get into the ins and outs of pain management. Make sure to listen to Part 1 first before you listen to this!
Health professionals, this should be our bread and butter, but sadly so many get it very wrong. We call this an iatrogenic condition, meaning "relating to illness caused by medical examination or treatment". Chronic low back pain, stemming from unhelpful advice and treatment from health professionals dealing with acute episodes of low back pain is sadly very prevalent in the community.
I like to think our way of approaching back pain is helpful in preventing this and getting patients back to what they want to be doing.
If you don't know of someone or have heard of someone that has experienced acute low back pain, I will eat my hat. You are also very likely to experience it yourself at some point! Which means this podcast is for you!
This case study is by no means the answer on how to treat an individual with back pain but gives an insight into how we think people should be. Not focusing on the negative, encouraging patients and moving away from adjunct therapies like massage, needling and manipulations in the short term.
Give us a 5 star review and remember to follow on instagram!
https://www.instagram.com/thesportsmedicineproject/
Dave Renfrew is a weapon of a physiotherapist, mentor, content creator, clinic owner and educator. In this episode we discuss pain education and the difference between what we as clinicians know, and what the patient needs to know to get better. We answer questions of how we think about pain, how to better address pain and what we could all do better as health professionals.
Everybody experiences pain at some point in their life, it is an unpleasant experience, nevertheless it is normal and common. So why aren't we all better at disecting it and applying the knowledge we know to the patient in front of us?
This information is for everyday clinical practice and can be applied to every single patient you see. If you are not a clinician, this podcast might get you thinking on a deeper level about what you understand about pain and injuries.
We have decided to split this podcast into two parts as there is just so much to go into and explore when we get into the ins and outs of pain management.
VERY EXCITED TO GET THIS OUT.
A controversial topic for all health professions. I cant give away to much but we talked all things foot orthosis.
We had Justin Smith on the podcast.
He is a Sports Podiatrist working in a speciality Sports Medicine Clinic. He works with the NRL and teaches at the University of Newcastle.
Custom V Prefabricated?
When are they indicated?
Why do other health professionals think that all podiatrists prescribe custom orthosis?
Why don't we have any good frameworks to think about them for?
If you are patient or have been one, have you received evidence based care?
Please reach out to let us know.
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The osteoarthritis that typically gets forgotten about. There isn't a wide array of literature on the topic either. We talked about the important tools and answers we give patients when they ask the hard questions like...
Do I need a scan for my ankle?
Is it likely to get worse?
Is it really bone on bone?
If you aren't a clinician, this episode is still for you too. It offers an in depth understanding on how you should think of OA and how your therapist (if you are seeing one) should be discussing it with you.
We also discuss the surgical and injectable options for Ankle OA. We think its best practice to understand this side of the therapy as we commonly work with surgeons, GP's and Sport Doctors, so why shouldn't we understand the literature. It can only make us better all round clinicians cant it?
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This was a tricky one.
I got the diagnosis wrong but I managed it in a way that I think a lot of people will benefit to hear from, especially new graduates. Give it a listen!
It was an odd presentation of posterior lateral ankle pain (Unilateral) in a runner.
Hello everybody.
Why is Dry Needling like Bitcoin? Well just like Bitcoin, I don't see any intrinsic value....
A controversial topic in this episode. Dry Needling - do we need to use?
How does it work?
How do you explain it?
Spoiler alert - it probably doesn't work like you think it should and it if it sits in your first line therapies, I think you need to listen to this!
If you are a new graduate - I think its best you focus your time and $$$ on better, evidence based courses!
This is our exact protocol for two patients of ours we have had in the past. If you give us a 5-star review and follow us on instagram we are happy to email it to you. We have it set out nicely on a word document with all relevant considerations which makes things incredible easy for your patients.
REMEMBER - these return to run protocols need to be individualised!
Bone stress injuries can be a difficult injury to manage and rehabilitate. In this episode we are talking about returning to running following a bone stress injury. We discuss what we do any why we do it based on the available evidence and our own clinical reasoning and experience.
I had a classic case in clinic. A Plantar 2nd Metatarsal head bursitis - very common and usually very easy to treat. I cant wait to hear all your opinions on this case and what I said and did. If you are a new graduate or a health professionals who struggles to help when people have forefoot pain. This is for you!!
A case study with Kelly and special guest appearance from Tania (Kelly's Mum) her recent shoulder injury. A brief subjective and objective history before diving into Tania’s recent physiotherapy experience. This podcast is more aimed towards clinicians with a specific focus on beliefs and how to address them and bring them to light with your patients.
Ever heard striking on your forefoot with running is better?
Do you know where the best place to strike is?
What about if you're injured, does it change then?
Listen along as we tell you the evidence, not what your instagram coach says. We combine evidence and our experience treating runners to give you practical take homes as well as the knowledge so you are able to explain to patients, athletes and friends what the bloody hell all the fuss is about.
Achilles pain not improving with yourself or with your patients?
Have you considered the differential diagnosis of a Paratendon? We see this missed clinically a lot. I had a patient this week that I wanted to discuss with you all how I approached it and how you can get the diagnosis and treatment right every time.
The treatment is vastly different, almost the opposite so make sure to listen through and understanding the clinical pearls you can use.
Static Stretching has long been thought of as an important factor to consider for injury and performance. This episode is aimed at challenging that argument. Well, we can't really call it a challenge since the evidence for static stretching is 20+ years old and has been disproven consistently over the last 10 years.
Honestly, its not that important.. there are better choices to to be made with your time. It's not just our opinion, its the consensus amongst the scientific community and its what the research says. There is enough high quality peer-reviewed data to support that notion that stretching has minimal long term benefit and that we are able to achieve the same results with strength training in which the big difference there.. with strength training you build your tissues capacity for load!
Welcome to the Sports Medicine Project.
This show is about weekly evidence-based discussions around all things Sports Medicine. We discuss injuries, running, performance, myths in rehab, the latest evidence, clinical anecdotes, case studies, and much more. Blake works alongside world-renowned Sport doctors within a multidisciplinary clinic and with the University as a researcher, clinical educator and Podiatrist. Kelly is a Physiotherapist working in the private practice setting focusing on performance rehabilitation. Blake and Kelly are athletes themselves, regularly competing in triathlon, distance running and trail running events around Australia.