Physiotutors Podcast: Recent Episodes
Physiotutors
The Physiotutors podcast is your opportunity to hear from some of the best physio's, researchers, lecturers and medical professionals for all things physiotherapy related. Join us as we discuss topics from orthopedics to pain management, from spinal cord to respiratory all in the name of physiotherapy.
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Summary
In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical.
00:00:00 Introduction
00:01:28 How has your understanding of chronic pain changed over time?
00:04:14 When does pain stop being mainly tissue-driven?
00:06:27 If tissues have healed, why can pain still persist?
00:08:43 What do patients with persistent pain get told that makes things worse?
00:11:36 Sponsored segment: Physiotutors courses
00:13:20 How do you explain persistent pain in a way that helps patients move forward?
00:16:32 What is primary pain versus secondary pain?
00:22:43 What are you trying to figure out in a first consultation?
00:25:17 How do you handle resistance when patients are skeptical?
00:27:09 Sponsored segment: Physiotutors membership
00:29:05 Where do clinicians go wrong with persistent low back pain?
00:39:04 How do you approach patients who have tried everything?
00:41:49 How do you explain MRI findings that do not match symptoms?
00:45:44 What makes TMJ disorders tricky and what do clinicians miss?
00:49:29 Sponsored segment: WriteUpp
00:51:04 What exercise approach do you use for persistent low back pain?
00:57:08 How do you balance manual therapy, exercise, and education?
00:58:41 How important are lifestyle factors in persistent pain?
01:01:42 What is your one piece of advice for clinicians treating persistent pain?
01:06:18 Is there anything else you want to add?
01:08:08 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
This episode explores the critical role of breathing in health, recovery, and performance, featuring Steven Zwerink, a breathing physiologist. Discover how dysfunctional breathing impacts the body, the importance of CO2 over oxygen, and practical techniques for physiotherapists to incorporate breathing exercises into their practice.
Guest
Steven is a breathing physiologist and the founder of the Dutch Institute for Breathing Physiology. His work focuses on how breathing influences health, recovery, and performance.
His interest in breathing started after a serious cycling accident, where he experienced a long and difficult recovery with symptoms like a concussion and whiplash. Traditional approaches only got him so far, but when he started working with breathing, things began to change. That experience became the foundation of his work today.
With a background in elite sports and extensive training in different breathing methods, Steven now works with physiotherapists, healthcare professionals, and athletes. His goal is to make breathing practical, evidence-informed, and clinically applicable.
Chapters:
00:00:00 Introduction to breathing in physiotherapy
00:01:17 Steven Zwerink's accident and recovery journey
00:07:57 Sponsor: Physiotutors membership and learning platform
00:09:04 Dysfunctional breathing, CO2, and nasal vs mouth breathing
00:16:38 Why nasal breathing can feel difficult
00:20:26 Early-life habits, jaw development, and airway problems
00:24:38 Sponsor: Physiotutors courses
00:25:39 Why breathing matters in everyday physio practice
00:31:45 How to assess when breathing is part of the problem
00:36:05 Three practical breathing techniques for therapists
00:42:26 Box breathing dosage and workplace applications
00:46:23 Advanced breath control and prolonged exhale training
00:50:55 Coherent breathing and nervous system regulation
00:50:54 Sponsor: WriteUp practice management software
00:52:30 When breathing is complementary vs primary treatment
00:56:46 Sleep-disordered breathing, recovery, and injury risk
00:59:14 Clinical case: post-COVID recovery with breathing work
01:01:34 Mistakes to avoid when adding breathwork to physio
01:04:20 Key myth, nervous system regulation, and therapist takeaways
01:06:13 Diaphragm, psoas, and overlooked physical links
01:08:11 Where to find Steven and final outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this episode, Firat Kesgin, founder of the German Institute for Vestibular Rehabilitation, discusses the controversial topic of cervicogenic dizziness. He challenges the validity of this diagnosis, arguing that dizziness often associated with neck pain and limited cervical mobility should not be considered a distinct disorder. Kesgin references the Barani Society's stance, which suggests that the connection between cervical issues and dizziness lacks high-quality evidence. He explains that patients with vestibular disorders often restrict head movement, leading to neck problems over time, which can be mistaken for cervicogenic dizziness.Kesgin emphasizes the importance of accurate diagnosis and the risks of relying on exclusion-based diagnoses. He highlights the need for specialized knowledge in vestibular disorders to avoid misdiagnosis and unnecessary treatments. The discussion also touches on the psychological aspects of dizziness, comparing it to chronic pain conditions where the central nervous system plays a significant role. Kesgin advocates for a more comprehensive understanding of vestibular disorders and cautions against simplistic mechanical explanations for complex symptoms.
Guest
Firat is the founder of the German Institute for Vestibular Rehabilitation and has been teaching postgraduate courses throughout Europe. His work focuses on helping clinicians better understand and treat patients with dizziness and balance disorders. Alongside his clinical and teaching work, Firat is currently pursuing a PhD on the standardization of BPPV testing and the implementation of structured vestibular rehab programs in outpatient care.
Chapters
00:00:00 Intro 00:01:22 Why "cervical dizziness" isn't a valid diagnosis 00:03:36 Neck pain/limited ROM as consequences of vestibular issues 00:04:26 Sponsor: WriteUpp 00:06:00 Temporal link to neck pain doesn't prove causation 00:08:15 Does treating the neck fix dizziness? Short-term vs long-term 00:10:51 Risks of diagnosis by exclusion 00:12:24 Diagnostic gaps in routine ENT practice 00:14:20 No specific test: is that enough to reject it? 00:16:59 Vestibular migraine vs "cervical dizziness" 00:20:51 Sponsor: Physiotutors Premium 00:21:27 Common mislabels: BPPV, hypofunction, and 3PD 00:25:45 Cervical proprioception: acute vs chronic relevance 00:32:32 Interpreting cervical torsion and SPNT tests 00:36:53 Sponsor: Physiotutors Courses 00:37:55 Parallels with chronic low back pain 00:38:41 Why the research persists and biomechanical bias 00:45:19 Clinical guidance for dizzy patients with neck pain 00:46:54 Myth-busting: negative ENT and psychology factors 00:49:23 Closing thoughts 00:50:33 Where to find Firat 00:51:19 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Download the FREE Physiotutors App 📲: https://physiotutors.app
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Summary
In this episode, Karl Jacobs, a renowned anatomist and educator, explores the complex world of fascia—its structure, function, and clinical significance. Discover how fascia influences movement, pain, and tissue adaptability, and learn about the latest research and practical insights for clinicians.
Guest
Karl is an accredited anatomist, presently working at the Department of Medical Biology, Section Clinical Anatomy & Embryology of the University of Amsterdam. As an anatomist, his area of special interest is the functional anatomy of the musculoskeletal system, head and neck region and Karl has a particular focus on fascia. He graduated with merit for his MSc Functional and Clinical Anatomy at the University of Birmingham (United Kingdom) in 2017; and wrote his final dissertation on the embryological, histological, physiological, and morphological aspects of the fascial system.
Chapters
00:00:00 Intro & guest bio
00:01:34 Path from physio to fascia
00:02:54 What is fascia?
00:03:51 Why fascia was overlooked
00:04:59 Fascia in movement & force transmission
00:06:06 Common oversimplifications
00:06:55 Fascia's role in stability
00:07:52 Fascia, nociception & pain
00:10:52 Sponsor: Physiotutors Courses
00:11:50 Continuity vs predictability
00:12:50 Can we diagnose fascial issues?
00:14:26 Do therapies change fascia?
00:16:47 "Releasing" fascia vs influencing biology
00:17:40 Sponsor: WriteUpp practice software
00:19:19 How adaptable is fascia?
00:21:12 Imaging fascia with ultrasound
00:22:41 Adhesions and layer gliding
00:24:17 How dissection changes clinicians' views
00:25:08 Lifestyle, load, and fascia
00:26:22 Sponsor: Physiotutors Premium
00:26:59 What "better" fascia means (function-specific)
00:28:08 Where the field is heading
00:29:08 Clinical takeaway
00:31:10 Where to find Karl
00:31:28 Courses: Fascia in a Nutshell & Discovering Fascia
00:32:38 Outro
Bonus Material
Discovering Fascia Online Course
Fascia in a Nutshell Masterclass
Anatomy Insight Institute
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Summary
In this episode of the Physiotutors podcast, Andreas Delaere discusses the critical role of physiotherapy in promoting healthy aging. He emphasizes the importance of prevention, strength training, and power training for older adults, while also addressing common mistakes made in their treatment. The conversation explores the hallmarks of aging, the significance of sleep in rehabilitation, and effective strategies for tracking progress and overcoming barriers to adherence. Andreas advocates for a holistic approach to physiotherapy, focusing on empowering patients and maintaining their functional independence.
Guest
Andreas Delaere is a physiotherapist, scientific researcher, and co-owner of Praktijk ROBUUST in Merchtem, Belgium. He combines clinical practice with research, with a strong focus on prevention, muscle health, strength training, and sarcopenia in older adults. Since 2015, he's been connected to the VUB, has contributed to multiple scientific publications, and to the Belgian Sarcopenia Guideline validated by CEBAM. Andreas also has an extra expertise in sleep and completed training in Cognitive Behavioral Therapy for Insomnia, CBT-I.
Chapters
00:00:00 Intro 00:01:32 Why focus on prevention? 00:03:15 Healthy aging and missed aspects 00:06:21 Twelve aging hallmarks? 00:10:48 Sponsor: Physiotutors courses 00:13:01 Recognizing sarcopenia 00:17:13 Common muscle-building mistakes 00:22:06 Strength versus power differences 00:25:19 Safe power training for elders 00:27:42 Non-negotiable movements, adaptations 00:34:23 Sponsor: WriteUpp software 00:35:58 Programming variables and frequency 00:40:40 Tracking progress and mismatches 00:42:27 Barriers and boosting adherence 00:46:25 Handling passive-treatment seekers 00:50:17 Strength-function translation issues 00:51:55 Sleep's role and myths 00:58:20 Sponsor: Physiotutors membership 00:59:16 When to refer sleep issues 01:01:01 Three actions for this week 01:02:10 Controversial view on training 01:04:56 Contact info & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this conversation, Ebonie Rio, a physiotherapist and researcher, discusses the complexities of patellar tendinopathy, including its causes, myths, and effective rehabilitation strategies. She emphasizes the importance of understanding the condition as an overload issue, the need for accurate diagnosis, and the role of strength training in prevention and recovery. Ebonie also highlights the significance of motor control and coordination in managing tendon pain, and the necessity of clear communication among athletes, coaches, and clinicians for optimal outcomes.
Check out the Rehabilitendon App: http://rehabilitendon.com.au/
Guest
Ebonie Rio is a physiotherapist and researcher from La Trobe University in Australia. She holds a PhD in tendon pain and has a background that includes a Masters in Sports Physiotherapy and two bachelor degrees. Her clinical work spans some of the top performance environments in the world. She has worked with the Australian Institute of Sport, the Australian Ballet Company and Ballet School, pro football with Melbourne Heart, the Victorian Institute of Sport, and several major events including the Commonwealth Games, the Vancouver Winter Olympics, the Singapore Youth Olympics and the London Paralympics. She also spent more than a year on tour with Disneys The Lion King. Ebonie has published widely on tendon pain, motor control, load, and rehab, with a special focus on patellar tendinopathy.
Chapters
00:00:00 - Intro: Ebonie Rio (background + welcome)
00:01:02 - Explaining patellar tendinopathy in simple terms (athlete-friendly)
00:02:47 - Biggest myths in patellar tendinopathy (imaging, diagnosis, puberty)
00:04:20 - Why "young jumping men" are most affected (risk factors + load profile)
00:06:06 - Misdiagnosis: patellar tendinopathy vs patellofemoral pain
00:07:15 - What changed most in tendon pain research (and clinical thinking)
00:08:27 - What clinicians still underrate in tendon rehab (getting strong enough)
00:10:16 - Sponsor: PhysioTutors Premium Membership
00:11:12 - Why weakness increases tendon overload (load distribution + performance)
00:12:06 - Where tendon research is heading (better diagnosis + better outcomes)
00:14:01 - Key assessment questions + progressive load testing approach
00:18:43 - Morning stiffness, night pain, and 24-hour response (diagnostic clues)
00:20:09 - Quad tendon vs patellar tendon: does it matter for rehab choices?
00:21:46 - Isometrics debate: what people misunderstand about pain relief
00:26:43 - What is "peritendin" and why it matters (especially in Achilles)
00:28:13 - How to diagnose peritendin vs tendinopathy (progressive load patterns)
00:31:53 - Peritendin treatment options (incl. Hirudoid + Voltaren discussion)
00:34:07 - Sponsor: Writeup (practice management software)
00:35:42 - Tendon rehab plan overview: in-season management vs full rehab
00:40:57 - Rehab strength targets + objective markers (leg press, calf, leg extension)
00:42:33 - Measuring the 24-hour response (decline squat vs hop testing)
00:43:02 - Spanish squat vs wall squat: why Spanish squat wins
00:44:19 - Heavy vs fast loading: why rate of loading matters
00:45:11 - Sponsor: PhysioTutors Courses
00:46:32 - Spring phase progression (energy storage + return-to-sport build-up)
00:50:15 - When is an athlete "cleared" to return to sport?
00:51:16 - Motor control + tendon pain: what changes and why it matters
00:53:47 - Metronome training: how to use it clinically (60 bpm setup)
00:55:17 - Managing flare-ups before major events (short-term strategies)
00:58:16 - Meds and injections: ibuprofen, pain relief, and why caution matters
00:59:30 - Key messages to coaches + athletes (performance mindset + heavy is safe)
01:01:08 - Final takeaways: diagnosis confidence + avoiding imaging traps
01:02:16 - Where to find Ebonie + her rehab app (Rehabilitendin)
01:03:18 - Outro: where to listen, app languages, transcript, and review request
Sponsors
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Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this episode of the Physiotutors podcast, we discuss the pervasive issue of burnout among physiotherapists, focusing on the business and operational challenges that contribute to this phenomenon. Joined by Claire Braham and Anna Bunch, experts in practice management and virtual assistance, the conversation delves into the daily realities of running a physiotherapy practice. They highlight that burnout often stems not just from long hours or difficult patients, but from the overwhelming mental load, inefficient admin systems, and the constant feeling of being behind. Claire and Anna share insights on how these factors can lead to emotional fatigue and ultimately impact both personal and professional lives. The discussion also emphasizes the importance of recognizing early signs of burnout, such as feeling constantly behind or lacking the capacity to manage tasks that once felt manageable. Claire and Anna provide practical solutions, including the implementation of effective systems and boundaries, to help clinicians regain control over their workload. They stress the need for clinicians to prioritize their well-being and consider outsourcing administrative tasks to alleviate stress and improve overall practice efficiency.
Guests
Clare is a Business Development Representative at WriteUpp, a practice management software used by many healthcare professionals. Her background is in operations, team leadership, and private practice support. She spends her time helping clinics get more organised, save time, and reduce stress around things like compliance, admin, and patient experience.
Anna Bunch is a Virtual Assistant who specialises in supporting psychologists and therapists. Since 2019, she has worked closely with private healthcare practices to improve systems, workflows, and daily operations. She also supports and mentors other VAs who work in this space.
Chapters
00:00:00 Intro 00:01:53 Burnout in daily practice? 00:04:44 Early signs of burnout? 00:08:55 Sponsor: WriteUpp 00:10:30 Constant on-mode impact? 00:16:55 Draining vs energizing patients 00:18:20 Over-responsibility problem 00:21:00 Clinicians hating admin 00:27:11 Sponsor: Physiotutors Premium 00:28:15 Insurance documentation pressure 00:30:30 Better systems for admin? 00:32:06 Tools and human support 00:36:35 Too many tools? 00:39:13 Powerful yet simple systems 00:43:35 Sponsor: Physiotutors Courses 00:44:51 One realistic change now? 00:50:15 Anything we missed? 00:52:09 Contact Details & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Note: This episode was recoreded in Dutch and can be listened to in English and other languages on the Physiotutors App. The next episode will be in English again!
Summary
In this episode, we discuss the journey of Ajan Elshof, a former physiotherapist who transitioned to a care-intensive advisor role. We explore the reasons behind his departure from physiotherapy, including changing perspectives on care, the challenges of practice management, and the relationship between physiotherapists and insurers. Ajan shares insights on the future of physiotherapy, the importance of innovation, and the need for collaboration in the healthcare sector.
Chapters
00:00:00 Intro and the big question: why does a passionate physiotherapist leave the profession?
00:03:42 Why physiotherapy was chosen: sports background, injuries, and early motivation
00:05:13 Workload, balance, and no burnout
00:06:40 Sponsor: Premium membership
00:07:17 From patient care to management: views on efficient, hybrid care and the right care in the right place
00:10:24 Overtreatment vs insured sessions: ethics and clinic policy
00:12:06 Ambition, ownership, and scale of impact
00:14:27 The purchasing plan: from the first years to the concrete process
00:16:09 Why the purchasing failed and business lessons learned, market fit, agreements, transition period
00:19:17 Considered paths, education, research, own practice, and the choice for a health insurer to increase impact
00:22:29 Sponsor: WriteUpp practice management software
00:24:20 Low rates, productivity, and admin work: the health insurer's view
00:27:29 Relationship between health insurer and therapist: shared goal and trust
00:30:53 New role at Zilveren Kruis: tasks and the value of a physio background
00:33:23 Clinic vs office: differences in workday, focus, and downtime
00:36:20 How do we keep passionate professionals? Perspective, career paths, and regional primary care cooperation
00:37:43 Sponsor: Physiotutors online courses
00:39:18 Career outlook and conditions for a possible return
00:41:21 Advice to the next generation, including his own children, about physiotherapy
00:42:30 Closing message: working together toward sustainable, accessible, local care
00:44:15 Closing
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Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
This podcast explores the critical role of exercise therapy in oncology, highlighting its importance in cancer treatment, rehabilitation, and survivorship. Experts discuss the evolution of exercise in oncology, current practices, and innovative trials that examine the interactions between exercise and chemotherapy. The conversation also addresses the unique challenges faced by patients with head and neck cancer and the significance of tailored exercise programs in improving patient outcomes. This conversation delves into the critical role of exercise in cancer care, highlighting patient barriers, the importance of personalized exercise programs, and the need for better integration of physiotherapy in oncology. The speakers discuss the life-saving benefits of exercise, the challenges faced in clinical practice, and the necessity of addressing patient fears and misconceptions about exercise. They emphasize the importance of collaboration among healthcare professionals to ensure consistent messaging and support for cancer patients. Looking ahead, they advocate for more research, education, and advocacy to improve exercise oncology practices globally.
Check out our Podcast Sponsor WriteUpp here: https://www.writeupp.com/partners/physiotutors
Guests
Prof. Dr. Nele Adriaenssens Prof. Dr. Nele Adriaenssens from the Vrije Universiteit Brussel is an associate professor and leads the Rehabilitation Research group, focusing on cancer rehabilitation and exercise oncology, with a special interest in side effects of chemotherapy and immunotherapy and how exercise can help. She also coordinates cancer rehabilitation and survivorship at the University Hospital in Brussels and has been a key figure in building cancer rehab services and research infrastructure there.
Dr. Grainne Sheill Dr. Grainne Sheill, clinical specialist physiotherapist in cancer rehabilitation at St James's Hospital in Dublin. Grainne leads work on exercise for people treated for head and neck cancer, looking at the barriers they face and how group based programs can support recovery, fitness and daily function after treatment.
Nirit Rotem She is the head of the physiotherapy department at Tel Aviv Souraski Medical Center. She is a physiotherapist, educator and long standing leader in national and international physiotherapy bodies, with a strong focus on cancer care, exercise prescription and raising standards of practice and policy.
Time Stamps
00:00:00 - Intro and guest lineup: Exercise therapy in oncology overview
00:01:36 - Why is exercise part of cancer treatment, not just an extra?
00:04:04 - What "exercise" means in cancer care: cardio, strength, or both?
00:05:32 - How the role of exercise in oncology has changed since 2008–2009
00:08:42 - Sponsor: PhysioTutors Premium Membership (ad)
00:09:35 - Policy and health system view: Where oncology rehab stands and gaps
00:12:40 - How drugs/side effects shape exercise plans (exercise–pharmacology examples)
00:16:56 - PAPTOX and FORX trials: What's new vs classic cancer rehab studies
00:20:45 - Exercise goals in palliative care and oncogeriatrics
00:24:17 - Are palliative/fragile patients motivated to exercise?
00:25:30 - Sponsor: WriteUpp practice management (ad)
00:27:05 - Head & neck cancer: Why this group is different and challenging for activity
00:31:34 - National survey findings: Top barriers and surprises to exercise post–head & neck cancer
00:33:49 - Key exercise-oncology messages still missing in day-to-day practice
00:37:33 - Turning position statements into simple clinical routines
00:41:41 - Global online oncology course: Is it available yet?
00:42:15 - Sponsor: PhysioTutors online courses (ad)
00:43:10 - Screening and triage: Group vs 1:1 vs medical referral
00:46:16 - Addressing fear: How to talk about risk and safety to keep patients engaged
00:49:55 - One belief to change among doctors/nurses about exercise in cancer care
00:53:19 - Ten-year outlook: Priorities for research, education, and implementation
00:56:13 - Final messages: Getting physios on board and entry-level competencies
00:58:54 - Congress announcement and closing remarks
Bonus Material
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Summary
In this conversation, Dr. Nick van der Horst, a sports physiotherapist, discusses the significant impact of hamstring and groin injuries in football, emphasizing the importance of pelvic control in injury prevention and rehabilitation. He highlights the prevalence of these injuries, the role of eccentric strength training, and the need for comprehensive screening and assessment methods. Dr. van der Horst shares insights on how to modify pelvic posture and control during rehabilitation, providing practical advice for integrating these concepts into injury prevention programs. The discussion also covers the relationship between pelvic mechanics and performance optimization, making it clear that understanding these factors is crucial for effective rehabilitation and injury prevention in sports.
Guest
Dr. Nick van der Horst is a sports physiotherapist and rehabilitation specialist with deep expertise in football medicine. He's currently part of the medical staff at PSV Eindhoven's first team, where he focuses on on- and off-field rehab, return-to-play strategies, and injury prevention.Nick earned his PhD at UMC Utrecht with a thesis on preventing hamstring injuries in male soccer players. Over the years, he has worked with organizations like the KNVB and Go Ahead Eagles, and he's the founder and CEO of SoccerDoc, a platform dedicated to improving football medicine through research, education, and clinical care.His work centers on maximizing football performance by reducing injury burden and creating evidence-based, player-centered rehab and prevention programs.
Timestamps
00:00:00 Intro and guest bio
00:01:00 How big are hamstring and groin injury problems (incidence and time loss)?
00:04:04 Clarifying the topic: SI joint issues vs pelvic position/control
00:04:42 Why are pelvic control and positioning key for hamstring and groin pain?
00:12:44 Sponsor: PhysioTutors Premium Membership
00:15:28 Screening and assessment: Go-to markers for pelvic posture/control issues
00:19:27 Do you need motion capture or other equipment to assess pelvic control?
00:22:17 How do you differentiate pelvic-mechanics-related hamstring issues from tissue-specific or neural problems?
00:27:12 Common lumbopelvic patterns in recurrent hamstring and groin injuries
00:25:38 Sponsor: WriteUpp Practice Management
00:37:54 Groin pain: Is pelvic posture/control a cause or a consequence?
00:41:50 How modifiable is pelvic posture and control?
00:44:51 Rehab progression: Early vs late stages when focusing on pelvic control
00:48:54 Do you use basic core/lumbopelvic exercises (bird dog, dead bug, pelvic tilts)?
00:52:13 Have improvements in pelvic control reduced hamstring/groin injuries in practice?
00:54:46 Sponsor: PhysioTutors Online Courses
00:56:13 Case experience: Moments that shifted perspective on pelvic role
01:03:08 Practical advice for integrating pelvic control into prevention/rehab in football
01:05:49 Where to find Dr. Nick van der Horst
01:06:29 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this podcast episode, neuroathletic performance and pain coach Jannik Schuster discusses neurocentric training, a method focusing on the brain and nervous system to enhance performance and alleviate pain. Schuster explains how he discovered this approach through personal experience with injuries and highlights its effectiveness in reducing inflammation and pain. He defines neurocentric training as targeting brain and nervous system interactions to improve performance, distinguishing it from traditional training methods that focus on biomechanical structures. Schuster emphasizes the significance of understanding the nervous system's role in pain and movement limitations, advocating for individualized approaches to address specific nervous system needs. He also discusses the integration of neurocentric training with traditional practices, the impact of visual, vestibular, and proprioceptive inputs, and the potential for neurocentric training to become more prevalent in both athletic and therapeutic settings. The conversation underscores the importance of neuroplasticity and suggests resources for those interested in exploring neurocentric training further.
Guest
Jannik Schuster — Neuroathletic Performance and Pain Coach, M.Sc. in Sports Science, educator, and former elite footballer. After training in the youth academy of FC Augsburg and the professional squad of FC Schweinfurt, Jannik discovered neurocentric training as a breakthrough method to unlock performance, prevent injury, and resolve pain. Educated through Z-Health and grounded in sports science, he now helps others apply neuro-based strategies for pain-free movement and optimal function
Content
00:00:00 Introduction
00:00:47 Yannick's Background and Introduction to Neuroathletic Training
00:02:49 Definition and Differentiation of Neurocentric Training
00:04:36 Scientific Foundation of Neurocentric Training
00:08:39 Common Misconceptions in Neurotraining
00:10:23 Role of the Nervous System in Pain and Movement Limitations
00:11:55 Neurocentric Training in Rehab
00:14:42 Assessment and Testing in Neurocentric Training
00:21:46 Role of Visual, Vestibular, and Proprioceptive Inputs
00:25:19 Typical Neuroperformance Training Session
00:28:17 Effects Observed in Performance-Oriented Athletes
00:31:01 Athlete Feedback on Neuro Training
00:35:38 Prevalence of Neurocentric Training in Elite Sports
00:37:29 Integration with Traditional Training and Therapy
00:40:08 Incorporating Neurocentric Elements in Daily Work
00:47:03 Striking Changes Observed Through Neuro Training
00:49:23 Resources for Learning About Neurocentric Training
00:51:27 Conclusion and Final Thoughts
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this episode, Melvin Pitz and Cornel Tol from the Headache, Pain, and Concussion Training Institute (HPCTI) delve into the intricacies of managing concussions and post-concussion symptoms. They advocate for using the term "prolonged post-concussion symptoms" over "mild traumatic brain injury" to reduce the nocebo effect associated with the latter.
The discussion highlights the importance of a multidisciplinary and biopsychosocial approach in diagnosis and treatment, emphasizing the significance of early intervention and patient education. Melvin and Cornel share insights into diagnostic criteria, the impact of framing on patient outcomes, and the gaps in current practices, particularly in the Netherlands. They stress the need for physiotherapists to be proactive in education and networking to bridge the knowledge gap in concussion management.
The episode also touches on the neurophysiological aspects of concussion, the shortcomings of monodisciplinary approaches, and the potential of a treatable traits approach for better patient outcomes. Listeners are encouraged to rethink the role of physiotherapy and consider the broader implications of prolonged symptoms, including psychological and social factors. The episode provides practical advice for physiotherapists and healthcare professionals on how to improve their practice and patient care in the context of concussions.
Guests
Today’s guests are Melvin Pitz and Cornel Tol from the HPC-TI — short for Headache, Pain & Concussion Training Institute. They’re on a mission to educate and empower healthcare professionals with cutting-edge, evidence-based strategies to manage headache, pain complaints, and mild traumatic brain injury. With a strong clinical background and a critical view on how care is currently delivered, they’re pushing for a multidisciplinary and biopsychosocial approach that actually works — in the clinic, and beyond
Content
00:00 Intro
00:41 Definition of PPCS
03:06 Diagnostic Criteria
06:35 Gaps in recognizing PPCS
09:47 Why patients are misdiagnosed
14:24 Sponsor
15:00 Prognostic Factors to develop prolonged symptoms
18:48 Rethinking Physiotherapists' role in treating PPCS
24:40 Neurophysiology of PPCS
28:28 Why monodisciplinary approaches fail
33:12 Diagnosis & Decisionmaking
35:48 Sponsor
37:04 Biggest pitfalls
38:44 Treatment
50:48 Interesting Case Studies
57:38 Return to work/play
01:03:21 Opinion on high-impact sports
01:05:25 Myths to bust
01:06:26 Closing thoughts
01:07:37 Contact info & Outro
Bonus Material
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Summary
In this episode, we welcome Dr. Sue Mayes, a distinguished physiotherapist and senior lecturer at La Trobe University, who is renowned for her expertise in injury prevention and rehabilitation, particularly in elite dancers and athletes. Dr. Mayes discusses the significance of foot intrinsic muscles, focusing on their role in ballet and sports injuries. She explains common issues like hallux valgus and foot arch control, emphasizing the importance of intrinsic muscle strengthening to enhance performance and reduce injury risk.
Dr. Mayes shares insights into effective foot strengthening techniques, such as banded exercises and stair running, while highlighting the limitations of traditional exercises like toe doming. She also explores the impact of footwear, advocating for a gradual adaptation to minimalist shoes. The conversation covers the role of intrinsic muscles in chronic conditions like ankle instability and shin splints, and the need for a comprehensive approach that includes calf and hip strengthening.
Listeners gain practical tips on creating foot strengthening programs, selecting appropriate exercises, and understanding the nuances of rehabilitation across different sports. Dr. Mayes underscores the importance of balancing foot strength and emphasizes the need for proper footwear to prevent stress fractures. The episode concludes with a call to acknowledge the lateral foot muscles and their role in distributing load effectively.
Content
00:00 Intro
01:01 What are Foot Intrinsics?
01:40 Most common foot/ankle injuries in Ballet
02:20 Hallux Valgus
04:30 Taping for Hallux Valgus
06:12 Quantifying intrinsic muscle strength
08:03 Foot Arch
09:45 Sponsor
10:35 The dome exercise
12:30 Common misconceptions
13:43 Footwear
17:40 Intrinsic Foot muscle weakness as risk factor
19:50 Performance Impact
22:25 Building a foot strengthening program
27:32 Sponsor
28:44 Strength program progression
30:50 Balance program
32:43 Focus on Abductor Hallucis
34:42 What else to focus on?
36:15 Plyometrics
38:25 Footballer are like Ballerinas
41:12 What clinicians should know about feet
42:26 Sue's closing thoughts
44:10 Contact info & Outro
Bonus Material
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Description
In this episode, Dr. Jack Hickey, a leading researcher in hamstring injuries, shares valuable insights into the complexities of hamstring rehabilitation and injury prevention. He discusses the common misconceptions surrounding hamstring rehab, emphasizing the importance of understanding the adaptations targeted by specific exercises rather than simply mimicking injury mechanisms. Dr. Hickey also delves into the significance of hamstring muscle architecture, particularly the role of fascicle length as a modifiable risk factor for injury. He highlights recent research comparing the effectiveness of exercises like Nordic hamstring exercises and Romanian deadlifts in enhancing fascicle length.
Dr. Hickey further explores his pioneering work in pain threshold rehabilitation, explaining how allowing low to moderate levels of pain during rehab can lead to better strength and muscle adaptation without delaying return-to-play timelines. He also touches on the fragility index as a measure of the robustness of risk factors associated with hamstring injuries.
Throughout the conversation, Dr. Hickey underscores the importance of individualized rehab programs, incorporating both on-field and gym-based conditioning, and the need to prioritize fundamental principles such as load management and athlete well-being. He also provides a glimpse into ongoing and future research endeavors aimed at advancing our understanding of hamstring injury mechanics and prevention strategies. This episode is packed with practical advice and evidence-based approaches for clinicians, making it a must-listen for those involved in sports medicine and rehabilitation.
Guest
Jack Hickey is a leading researcher in the field of hamstring injuries. Jack is currently based at Maynooth University in Ireland, where he joined in 2023 as the first academic in the Department of Sport Science and Nutrition.Before that, he was a Senior Lecturer at the Australian Catholic University in Melbourne and part of the SPRINT Research Centre, focusing on sports performance, injury, and rehab. His PhD centered on hamstring strain injuries and pain-threshold rehab – a body of work that earned him multiple national awards, including the ESSA Medal for best PhD thesis in Exercise and Sport Science.Beyond academia, Jack is an accredited Exercise Physiologist with over a decade of experience treating athletes from all levels—especially those dealing with hamstring injuries and ACL reconstructions.
Content
00:00 Intro
01:31 Why the interest in the hamstrings?
03:41 Transitioning from Australia to Ireland
06:05 Common Misconceptions in Hamstring Rehab
13:09 sponsor
13:46 How to measure fascicle length
16:07 Pain threshold rehabilitation explained
21:55 But there's more than pain levels
27:51 How to modify fascicle length
30:01 Nordic Hamstring Curls vs. RDLs
35:05 sponsor
36:08 Which exercises favor different parts of the hamstrings
40:54 Ideal eccentric loading parameters
43:40 What is the Fragility Index?
49:49 Describing Return to Play Criteria
52:47 Hamstring Rehab in the ideal world 5
6:15 Current Hamstring Research Highlights
59:32 Jack's closing thoughts
01:00:26 Contact Info & Outro
Bonus Material
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Summary
In this episode, we explore the innovative world of Runeasi, a company co-founded by Dr. Kurt SchĂĽtte, which is revolutionizing the assessment of running and jumping in both clinical and athletic settings. Dr. SchĂĽtte shares how Runeasi bridges the gap between lab-based biomechanics research and real-world application, offering affordable, evidence-based analysis tools. The episode delves into the workings of Runeasi's AI-driven 3D gait analysis and its jump module, highlighting their key metrics and practical applications in reducing injury risk and enhancing performance. Additionally, the podcast covers the benefits of using Runeasi for clinicians and coaches, its validation process, and its future developments, including remote rehabilitation and mobile app advancements. The discussion emphasizes Runeasi's mission to make data-driven insights accessible and actionable for everyday physiotherapists, coaches, and athletes.
Guest
Dr. Kurt Schütte, PhD in biomechanics, CEO, and co-founder of Runeasi — a company that’s shaking up how we assess running and jumping in both clinical and athletic settings.
After completing his PhD, Kurt saw a gap between the lab and the field — and a clear need for affordable, evidence-based biomechanics analysis that could be used in the real world. That realization became Runeasi. His mission? To empower clinicians and coaches to use data-driven insights to reduce injury risk and enhance performance — and to make this the standard within the next three years.
Resources
Andreas Halfmarathon Case Study with Runeasi
Runeasi Website
Content
00:00:00 Introduction of Dr. Kurt SchĂĽtte and Runeasi
00:01:06 Discussion on the origin of Runeasi
00:02:09 Motivation from research to entrepreneurship
00:04:11 Vision for data-driven insights in clinical practice
00:08:25 Core of Runeasi’s AI-driven 3D gait analysis
00:09:50 Difference from traditional lab-based systems
00:12:27 Ensuring closeness to the gold standard
00:14:58 Main metrics from gait testing
00:22:02 Who uses Runeasi and for which scenarios
00:27:18 Typical test session walkthrough
00:32:24 Running on a treadmill vs. outdoors
00:38:11 Jump testing module
00:41:11 Main metrics in the jump module
00:44:26 Ensuring accuracy compared to force plates
00:48:34 Special cases in return to sport testing
00:52:59 Future developments for Runeasi
00:57:26 Message to physios hesitant about biomechanics tech
01:01:51 Final thoughts and how to get Runeasi
Bonus Material
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In Episode 77 of the PhysioTutors podcast, we welcome Hedwig Neels, a renowned physiotherapist from Belgium who specializes in pelvic health. Hedwig is a professor at the University of Antwerp and founder of the Pelvic Floor platform, which aims to break taboos and make pelvic health accessible and understandable for women. During the episode, Hedwig discusses her journey in creating the Pelvic Floor platform and the common misconceptions around pelvic health, such as the overemphasis on Kegel exercises. She emphasizes the importance of education, awareness, and a holistic approach to pelvic health. The conversation also covers pelvic health during pregnancy and postpartum, highlighting the need for pelvic floor training and the challenges in returning to high-impact sports. Hedwig shares insights into male pelvic health, particularly saddle pain in cyclists, and the significance of relaxation over strengthening in certain cases. The episode concludes with a discussion on the future of pelvic floor rehabilitation and the importance of open communication and education in the field. Hedwig provides valuable resources and advice for physiotherapists and individuals looking to understand and improve pelvic health.
Guest
Hedwig is a physiotherapist specializing in pelvic health, with a particular focus on education and awareness. She is a professor at the University of Antwerp, where she combines academic research with clinical practice at the University Hospital of Antwerp. Hedwig is also the founder of The Pelvic Floor, an information platform and community designed to break taboos and make pelvic health accessible and understandable for all women. She teaches both medical and paramedical professionals through the Women's & Pelvic Health Professionals network and is the author of Het Bekkenbodemboek — a beautifully illustrated, accessible guide to pelvic floor health for women. Her clinical expertise also extends to athletes, including both women and men, with a special focus on cycling-related saddle pain and its impact on performance.
Content
00:00 Intro
01:12 Why she started her Pelvic Health Platform
03:19 Misconceptions about the Pelvic Floor
06:42 Sponsor
07:19 Lowering the barrier to start talking about pelvic health
12:00 Pelvic Health during and after pregnancy
15:40 Return to sport post-partum
20:00 Quantifying pelvic floor function in practice
23:37 Pelvic Floor Problems among top reasons women stop playing sports
26:52 Male pelvic pain
31:43 More about letting go than holding in
34:12 Pelvic health skills for non-pelvic health practitioners
37:01 Sponsor
38:02 Go beyond Kegels
42:54 Don't forget the pelvic girdle
46:34 The biggest innovation in pelvic rehab
49:32 What every physio should know about pelvic health
51:02 Hedwig's closing thoughts
53:18 Contact info & Outro
Bonus Material
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In episode 76 of the podcast, we engage with Dan Elias, a seasoned physiotherapist with over 15 years of experience, specializing in youth athletes. Dan works with the England athletics team and runs the Youth Physiotherapy Clinic in Bath, focusing on athletes aged 8-18. During the episode, Dan discusses his journey into youth physiotherapy, emphasizing the unique approach required for treating young athletes compared to adults. He highlights common misconceptions about physiotherapy for children and the importance of adapting communication and treatment strategies to suit their developmental needs.
Dan elaborates on the challenges of managing injuries during growth spurts and the significance of bone health and appropriate strength training for young athletes. He also addresses the phenomenon of overtraining, offering insights into recognizing early signs and mitigating risks through proper rest, nutrition, and diversified physical activities. The conversation underscores the role of fun and engagement in rehabilitation and the necessity of establishing healthy long-term habits for injury prevention. Dan stresses the importance of understanding each child's unique circumstances and fostering a supportive environment that encourages confidence and communication. The episode is a comprehensive discussion on the nuances of youth physiotherapy, offering valuable insights for parents, coaches, and practitioners involved in youth sports.
Content
00:00 Intro
01:14 Dan's Journey into Youth Athletics
04:34 What are the biggest misconceptions on Youth Athlete Physiotherapy
08:03 Tips on communicating with children & adolescents
10:08 How Growth Spurts affect Injury Risk
16:19 Sponsor
17:20 What does a typical Assessment look like
22:20 What are common injuries in this population?
25:05 Are avulsion fractures prevalent?
26:13 How to recognize early signs of overtraining
30:30 How to deal with overtraining symptoms
33:01 Specific sports that have the most injuries
35:35 Resistance Training in adolescents
38:02 How to design "fun" rehab plans
41:15 Sponsor
42:03 How to help adolescents create healthy habits
45:26 Physical and mental advice for young patients
50:25 Parents' biggest mistakes in youth development
52:54 Early sports specilization
54:05 Dan's closing thoughts
55:47 Contact Info & Outro
Bonus Material
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In this episode of the podcast, we are joined by Shrey Vazir, an advanced physiotherapist and founder of Mind Body Horizons. Shrey shares his personal journey of managing fibromyalgia and discovering the intersection of mindfulness and physiotherapy. He emphasizes the importance of integrating mindfulness practices into healthcare, particularly for managing chronic pain, stress, and burnout.
Shrey discusses the science behind mindfulness, its benefits for patients and healthcare professionals, and offers practical steps for incorporating mindfulness into physiotherapy practice. He also addresses common misconceptions and barriers to adopting mindfulness and shares success stories of patients and professionals who have benefited from these practices. Listeners will get book recommendations for those interested in learning more about mindfulness and information on how to connect with Shrey.
Content
00:00 Intro
01:33 Shrey's Background
05:16 Founding Mind Body Horizon
07:40 Defining Mindfulness in Healthcare
14:05 Effects of Chronic Stress
20:24 How to integrate Mindfulness in Practice
28:10 Mindfulness Tips to prevent Clinic Burnout
32:15 Barriers to implementing Mindfulness
35:55 Athletes swear on Mindfulness
38:00 Dealing with Skepticism
43:15 Success Stories
50:56 Mindfulness Movement
52:50 Shrey's closing thoughts
54:25 Book Recommendations
56:32 Contact Info & Outro
Bonus Material
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In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy.
The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests including Spurling's test and neural tension tests to improve diagnostic accuracy. Dr. Thoomes also challenges the reliability of traditional dermatomes and myotomes, advocating for individualized assessment and treatment strategies.
The conversation covers various treatment options, highlighting the ineffectiveness of cervical traction and suggesting neurodynamic mobilization, spinal manipulative therapy, and targeted exercises. Dr. Thoomes advises adapting management strategies from acute to chronic stages and stresses the role of patient education and self-management. The episode also touches on the limited role of imaging unless necessary and discusses the importance of differentiating cervical radiculopathy from other conditions.
Dr. Thoomes calls for more research in areas like epidemiological data and neurodynamic mobilization and shares clinical gems for effective management. The episode concludes with an emphasis on individualized patient care and encourages questions and further discussion from listeners.
Content
00:00 Intro 00:52What is Cervical Radiculopathy? 04:05 Cervical vs Lumbar Disc Herniation 05:29 Clearer Terminology needed 07:15 Prevalence and Risk Factors 08:26 Most useful Tests 10:33 Crucial History Findings 11:56 Dermatomal/myotomal examination 13:13 Treatment Options 18:27 Manipulations? Mobilizations? 21:29 Motor Control Training 24:55 Directional Preference in the Cervical Spine? 26:03 Higher Level Exercises 27:01 Self-Management 28:52 Diagnostic Mistakes to Avoid 31:30 Red Flags and Imaging 33:15 Lessons to learn from LRS 34:25 Future Research Directions 37:45 Top Tips 39:27 Outro & Contact Info
Bonus Material
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Description In episode 73 of the Physiotutors podcast, we talk to Philipp Andersson, a seasoned physical therapist and strength and conditioning coach who heads the medical department for IFK Värnamo in Sweden's top football league. Philipp shares insights into his unconventional journey into sports physiotherapy, starting with a passion for working in professional sports, leading to volunteering opportunities that paved his way into elite sports teams. Despite lacking initial connections, his determination and strategic volunteer work helped him secure his current role.
Philipp discusses the unique challenges of working with both women's and men's football teams and the differences between training high-profile clients and professional athletes. He emphasizes the importance of sport-specific training and the need to connect gym work with on-field performance. The conversation also touches upon common injuries in soccer, particularly the prevalence of ACL injuries in women and muscle injuries in men, and the balance between performance and recovery.
Philipp talks about the realities of working in professional sports, debunking myths about glamour and high salaries, and highlights the rewarding aspects, such as forming strong connections with players. He also shares his leadership philosophy, stressing the importance of listening and open dialogue within a multidisciplinary team. The episode concludes with insights into Philipp's daily routine and the demands of balancing personal life with a career in professional sports.
Guest Philip Andersson is a Physical Therapist and Strength & Conditioning Coach leading the medical department for IFK Värnamo in Sweden’s top football league. With experience in elite women’s football and training high-profile clients, Philip brings a wealth of knowledge on athlete care and performance.
Content
00:00 Intro
00:35 Philip's Journey into Professional Sports
03:13 Challenges of working with Athletes vs. Celebrities
05:05 How he landed his clients
06:00 Most common injuries he sees
07:45 Different injuries in men's vs. women's sports
08:22 Decision-making for RTP in professional sports
09:46 What's physio really like in professional sports
12:07 Common misconceptions
14:35 Most rewarding moments
18:13 Differences working with high profile clients
19:17 Leadership lessons
20:45 Philip's Advice to land a job in professional sports
23:30 Use of non EBP in professional sports
28:08 Philip's work philosophy
29:20 A typical day/week
32:20 Career Plans
34:30 Bonus Story
37:50 Bonus Story 2
39:29 Contact Info & Outro
Bonus Material
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In Episode 72 of the Physiotutors podcast, we interview Dr. Daniel Belavy, a professor with a prolific research background in muscle, bone, and joint health, specifically focusing on low back pain. The discussion explores various aspects of back pain research, including disk herniations in astronauts, the role of mechanical loading in disk health, and the challenges of classifying non-specific low back pain.
Dr. Belavy shares insights from his studies on physical exposure and spine postures, contextual effects in treatment, and exercise training for back pain. He emphasizes the importance of understanding how treatments work to optimize clinical care and highlights the ongoing quest to identify subgroups and optimal exercise prescriptions for back pain. The episode underscores the complexity of back pain and the multifactorial elements influencing it, advocating for continued research and collaboration in the field.
Content
00:00 Intro
00:57 Disc Herniations in Astronauts
04:08 Discs need (de-)loading
08:04 Is there a U-curve for loading?
10:15 NSLBP Classification Challenges
19:20 SI Joint Pain Classification Challenges
24:30 Physical Exposures and Low Back Pain
29:04 Physical Function/Activity and Low Back Pain
31:40 Contextual Effects in Low Back Pain
40:09 How to harness contextual effects in treatment
41:21 Which type of exercise is best for LBP
47:01 Exercise variables and pain reduction
50:29 Daniel's closing thoughts
53:00 Contact info
55:52 Outro
Bonus Material
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In this episode of the PhysioTutors podcast, Dr. Annina Schmid, a specialist in musculoskeletal physiotherapy and a professor of pain neurosciences at Oxford University, discusses entrapment neuropathies, focusing on conditions like carpal tunnel syndrome and cubital tunnel syndrome. She explains that these conditions occur when nerves are compressed or irritated as they pass through narrow anatomical spaces, leading to symptoms such as pain, tingling, numbness, and sometimes motor changes like weakness. The conversation covers common types of entrapment neuropathies, diagnostic challenges, and distinctions between peripheral and nerve root entrapment. Dr. Schmid emphasizes the importance of pattern recognition, detailed patient assessment, and understanding the anatomical and neurological aspects of each case. Dr. Schmid also delves into the importance of deep clinical phenotyping and precision physiotherapy, highlighting the need for detailed understanding of patient presentations and individualized treatment approaches. She discusses the potential benefits and mechanisms of neurodynamic treatments and other interventions, stressing that education and managing patient expectations are crucial. The discussion touches on the role of advanced imaging techniques like ultra-high field MRI in diagnosing and treating entrapment neuropathies, and the significance of surgical intervention in severe cases. The episode concludes with Dr. Schmid's takeaways for clinicians, emphasizing the need for careful diagnosis, patient education, and innovative research approaches.
Content
00:00 Intro
00:48 What are entrapment neuropathies?
01:48 Typical presentations
02:45 Does Piriformis syndrome exist?
05:10 Causes and Riskfactors of PNE
07:23 Differential diagnosis
13:00 How reliable is dermatome examination
15:25 What is Deep Clinical Phenotyping?
20:20 What is Precision Physiotherapy?
24:37 Effects of Neurodynamics
26:49 Effectiveness of other Interventions
31:35 Interface treatment
34:40 When to refer for surgery
36:48 Nerve repair
41:25 Ultra High Field MRI Explained
44:48 Three Take Aways
47:03 Annina's Closing Thoughts
48:13 Contact Info
49:39 Outro
Bonus Material
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In this episode of the Physiotutors podcast, Kai interviews Serena Simmons, a seasoned psychologist with over 30 years of experience, about behavioral change and patient buy-in in healthcare. Serena highlights the challenges that healthcare providers face due to the lack of psychological training in their initial education, which often leaves them unequipped to effectively promote behavioral change in patients. She emphasizes the importance of understanding both the practitioner's and the patient's psychology to foster meaningful interactions and facilitate change. Serena discusses the significance of the patient-provider relationship, suggesting that building trust and rapport is crucial, and that understanding and addressing the patient's intrinsic motivations can lead to better adherence to treatment plans.
Additionally, Serena offers practical advice for healthcare providers, such as spending more time understanding the patient's emotional reasons for seeking treatment and creating small, achievable milestones to reinforce progress. She also stresses the importance of self-awareness and communication skills for practitioners, recommending further education in human psychology and decision-making processes. Serena's insights underscore the need for a holistic approach that combines psychological understanding with clinical expertise to improve patient outcomes. The episode is rich with strategies for enhancing patient engagement, compliance, and overall effectiveness in physiotherapy and other healthcare practices.
Content
00:00 Intro
02:00 Barriers to behavior change
05:19 How to identify psychological factors impeding recovery
08:15 How to create rapport
14:27 Everything starts with you
18:30 How to strengthen your bond with a patient
24:24 How to uncover a patient's "why"
33:40 The benefit of hands-on treatment
35:13 Motivational Interviewing
39:10 My patient doesn't do exercises
46:06 How to secure buy-in
51:09 Recommended reading
53:30 Serena's closing thoughts
54:10 Contact info
54:35 Outro
Bonus Material
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In this episode of the Physiotutors podcast, Kai interviews Niek Vink, a physiotherapist and manager at the National Training Center for Ultrasound (NT-E) in Utrecht, Netherlands. They discuss the role and benefits of ultrasound in physiotherapy. Niek explains the basics of ultrasound imaging, comparing it to other imaging techniques like MRI and X-ray. He emphasizes that while ultrasound offers high spatial resolution and is useful for assessing soft tissues, it cannot see inside bones. The conversation also highlights the importance of dynamic scanning and sono-palpation in physiotherapy, as well as the advantages and disadvantages of ultrasound.
The discussion covers the adoption and application of ultrasound in physiotherapy practices, noting varying levels of usage in different countries. Niek shares success stories and potential pitfalls, stressing the importance of proper training, practice, and patient communication to avoid nocebo effects. He also touches on new developments in ultrasound technology, such as AI and elastography, and offers advice for physiotherapists considering adopting ultrasound in their practice.
Guest
Niek is a Physiotherapist from Utrecht, Netherlands and the manager and teacher at NT-e, an educational company focused on teaching ultrasound imaging to doctors, and physiotherapists. He’s been a public speaker on countless international events and today we will talk to him about the role of ultrasound in physiotherapy.
Content
Bonus Material
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In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, such as dislocations in contact sports like rugby and rotator cuff issues in overhead sports like swimming and tennis. She emphasizes the importance of considering the kinetic chain in rehabilitation, focusing on both local shoulder control and the role of other body parts to optimize recovery and performance. Edel also highlights the significance of proper scapular function and offers insights into the nuances of treating shoulder injuries, including specific exercises and positions to support recovery.
Edel also delves into the challenges of returning athletes to sport post-injury, discussing the importance of objective testing, psychological readiness, and sport-specific considerations. She outlines the differences in rehabilitation approaches for contact vs. non-contact sports, noting the unique demands and injury mechanisms of each. The conversation touches on screening tests, injury prevention strategies, and the development of an online course on athletic shoulder rehabilitation. Edel's expertise and practical advice provide valuable insights for physiotherapists and sports professionals aiming to enhance shoulder health and performance in athletes.
Content
00:00 Intro
00:45 Which pathologies to consider
08:34 The scapula and stability & performance
15:36 Which muscles to consider in rehab
19:08 The importance of strength in the kinetic chain
21:43 How to reduce injury risk
25:03 Shoulder warm-up routines
27:29 Screening tests useful?
33:11 Exercise dilemmas
38:47 AC Joint Injuries
45:50 What is assessed?
51:35 RTP & RTS markers are different
01:00:09 Edel's closing thoughts
01:01:00 Contact Details
01:02:50 Outro
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Summary
In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injuries, and touch on chronic ankle instability, a condition that remains somewhat ambiguous and under-researched. Jente emphasizes that while ankle sprains are common, particularly in sports, the transition to chronic instability isn't always straightforward and requires more prospective data for a clearer understanding. We also explore the prevalence of ankle sprains across various sports and demographic groups, noting higher incidences in females and younger populations.
Jente shares his approach to managing ankle sprains, from the acute phase to return to sport, advocating for exercise-based rehabilitation and the importance of patient education. He highlights the Peace and Love principles for immediate post-injury care and emphasizes the role of neurocognitive tasks in rehabilitation. We also discuss the use of orthopedic tests, ultrasound, and the significance of understanding which ligaments are involved in the injury for effective treatment. Jente stresses the importance of not underestimating ankle sprains, ensuring proper rehabilitation to prevent recurrence, and the potential role of surgery in persistent cases.
Guest
Jente Wagemans is a physiotherapist and researcher at the University of Antwerp who is currently doing is PhD in collaboration with Ulster Universtity and Bern University of applied sciences. As part of his PhD he has published several papers about ankle sprains and chronic instability.
Timestamps
00:00 Intro
00:49 What is a lateral ankle sprain?
02:04 How is it different from other sprains?
03:12 At what point do we talk about chronic instability?
08:00 Prevalence
09:36 The typical patient
11:22 Risk factors
14:00 Ankle mobility & strength metrics
15:07 Chronic Instability risk factors
18:45 Red Flag Awareness
23:46 PEACE & LOVE
26:45 Orthopedic Testing
31:20 When is MRI valuable?
32:54 Functional Assessment
36:37 Management Approach
45:18 Taping & Braces
47:13 Recurrence & Prevention
49:00 When surgery is indicated
52:10 Return to Sport timeline
56:20 Jente's closing thoughts
57:53 Contact Info
59:40 Outro
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In this podcast, Dr. Claire Minshull shares her insights on teaching strength and conditioning to physiotherapists, emphasizing the practical application of academic knowledge. She discusses common mistakes in S&C practices, the importance of muscular strength in rehabilitation, and the significance of individualized exercise prescription for optimal outcomes. Claire also explores topics like measuring strength, rate of force development, and emerging technologies in strength training, underlining the need for patient-centered approaches and effective rehabilitation strategies.
Guest
Dr. Claire Minshull is a sport scientist, researcher and visiting professor at Leeds Beckett University in the UK. She has published more than 30 papers mainly on strength and conditioning and runs an educational company called Get Back to Sport
Content
00:00 Intro
01:01 Claire's Journey in S&C
04:58 The issue with S&C in Physio
07:38 S&C Mistakes Physios make
13:36 Hypertrophy & Strength is important
18:43 How to gauge Strength
24:03 Compound vs. Isolation Exercises
27:19 How far to push Patients to Fatigue
33:26 Failure to adapt Exercise Prescription in Clinic
36:04 Rate of Force Development explained
42:47 Cross Education Effect explained
50:41 Tips to create Patient Buy-In to Exercise
55:06 Emerging Technology Highlights in S&C
01:01:56 Claire's closing thoughts
01:03:48 Contact Info
01:04:48 Outro
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In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she emphasizes the need for a holistic approach in managing migraines, incorporating physiotherapy interventions alongside pharmacological treatments. Dr. Luedtkee suggests addressing musculoskeletal dysfunctions in the neck, providing education on migraine triggers and symptoms, promoting relaxation techniques, and encouraging aerobic exercise. She also mentions ongoing research areas focused on patient perspectives, the effectiveness of physiotherapy in migraine treatment, and the importance of incorporating patient feedback into future studies to enhance the overall management of migraines.
Content
00:00 Introduction
00:37 Definition of Migraine Headaches
01:40 Migraine with Aura
03:30 Pathophysiology
05:30 The role of the Hypothalamus
07:36 Risk Factors for Migraine
13:25 Prevalence
16:44 The typical patient
18:29 Migraine and Chronic Pain
21:30 Red Flags
23:13 Other Diagnostic Measures
29:00 MSK Dysfunctions in Headache
31:18 The role of Vestibular Assessment
33:25 Subtype Vestibular Migraine
34:34 Physical Therapy Effectiveness
40:11 Guideline Management Approach
45:15 Added benefit of moving more?
46:16 Hot topics in Migraine Research
48:30 The Importance of the Patient’s perspective
49:56 Contact Info
51:15 Outro
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In this podcast episode, Dr. Leanne Bisset, a musculoskeletal physiotherapist and associate professor at Griffith University, shares valuable insights on lateral epicondylalgia, also known as lateral elbow tendinopathy. She discusses the anatomy and function of the affected muscles, highlighting the importance of stability in wrist movements and the role of the extensor carpi radialis brevis. Dr. Bisset emphasizes the shift in terminology from epicondylitis to tendinopathy, debunking misconceptions around inflammation in the condition and providing a comprehensive overview of diagnostic considerations, risk factors, and red flags to look for during assessment.
Furthermore, Dr. Bisset delves into the management of lateral elbow tendinopathy, emphasizing the significance of tailored exercise programs focusing on isometric loading initially, progressing to incorporate global upper limb strengthening for comprehensive rehabilitation. She also addresses the limited efficacy of modalities like shockwave therapy and the potential benefits of orthoses in pain management. Dr. Bisset's evidence-based approach underscores the importance of patient education, individualized treatment plans, and monitoring pain responses to optimize outcomes in the management of lateral epicondylalgia.
Guest Dr. Leanne Bisset is a musculoskeletal physiotherapist and an associate professor at Griffith University at the gold coast, Australia. She has published over 100 papers on a variety of topics and has done extensive research on lateral epicondylalgia.
Chapters
00:00 Intro
00:44 Definition of lateral elbow tendinopathy
05:39 Why Inflammation is inaccurate
11:49 Risk factors
13:46 The typical patient
17:34 Red Flags
27:30 Diagnostic tests
29:49 Leanne's Diagnostic Approach
32:27 Treatment
38:15 Details on Isometric Loading
49:29 Other treatments
54:02 Treatment Progressions
58:45 How much pain to allow
01:01:28 Shockwave and Dry Needling
01:03:56 Elbow Braces
01:05:50 Contact Info
01:06:58 Outro
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In this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program.
It's a value-packed episode so tune in to master your approach to treating shin splints.
This episode is sponsored by Lindy.ai - your A.I. medical scribe. Try Lindy for free by going to lindy.ai/physiotutors and receive 1 week of unlimited patient notes.
Content
00:00 Intro
01:06 What is MTSS?
02:19 Risk Factors
03:34 Typical Patient
04:20 Specific Training Errors
05:40 Influence of Footwear
06:58 Forefoot Running
08:40 Red Flag Diagnoses
12:08 MTSS DIagnosis
13:06 Assessing the Patient
15:45 Muscle Testing
17:18 Sponsored Segment
18:55 Other Strength Parameters
21:05 Running Analysis/Technique
26:15 Treatment
29:29 Strengthening Exercises
31:58 What about Tibialis Anterior?
33:12 How to manage a flare-up?
35:25 Return to running
38:02 Different Mx for Different Sports
40:20 Duration of MTSS
41:35 Adjunct Treatments
43:30 Can MTSS become a Fracture?
44:25 Tom's closing remarks
46:25 Outro
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In this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation.
The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications.
The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques.
Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care.
Chapters
- 00:00 Intro
- 00:46 Defining Dry Needling
- 01:49 The Physiology
- 07:26 Difficulty of human studies
- 08:15 Active vs. Latent Trigger Points
- 10:05 Reliability Issues of TP Therapy
- 12:00 Referred pain in Trigger Points
- 15:40 The local twitch response
- 17:50 In-situ vs. winding technique
- 18:36 Research vs. Clinical Practice
- 20:22 Dry Needling for Tendinopathy?
- 23:58 Evidence for MSK Complaints
- 28:01 Contraindications and Risks
- 30:45 Needles vs. Hands
- 32:16 Kai's Dry Needling Anecdote
- 33:06 Are we chasing short-term effects?
- 35:26 Top 3 Reasons to learn Dry Needling
- 40:01 Closing thoughts
- 41:06 Outro
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In this episode, Dutch researcher Corinne Visscher discusses temporomandibular disorders (TMD) with a focus on prevalence, risk factors, diagnosis, and treatment. She provides insights on the research she is currently focused on, particularly in understanding the journey of patients with chronic complaints related to TMD. Corinne also emphasizes the importance of screening for TMD, providing counseling and advice on habits, and referring patients to oral facial physical therapists or dentists when necessary. She also highlights the link between TMD and secondary headaches, and offers ways to reach out to her for further information.
Content
00:00 Intro
00:35 What is TMD?
01:18 TMD Prevalence/Incidence
02:20 The typical TMD Patient
03:23 Risk Factors
06:38 Red Flag Screening
09:20 The Diagnostic Process
14:05 Special Tests
15:25 Questionnaires
17:47 TMD & Headaches
19:30 Am I clenching my teeth?
20:40 Is posture a factor for TMD?
22:50 The course of TMD
27:09 A place for Dry Needling?
28:29 Other Manual Therapies?
31:50 Current TMD Research
35:05 Top 3 Takeaways
40:20 Tension-Type or TMD Headache
42:28 How to get in touch
43:08 Outro
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In this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals.
By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors.
Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration.
Guest
Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain.
Content
00:00 Intro 00:40 What is the PDDM? 03:19 The 5 Drivers of Pain & Disability 07:56 The struggle with interdisciplinary care 11:15 Lifestyle within the PDDM 13:28 Why is PDDM more than a classification system? 17:23 Patient History within the PDDM 30:57 Why so many PROMs? 32:45 NSLBP - is it a helpful diagnosis? 39:37 Can Physiotherapists cover all 5 domains? 43:18 Is it all talking? 45:42 What has changed since 2017 49:28 How can we apply the PDDM? 3 Tips 51:26 Yannicks closing thoughts 53:15 Outro
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In this podcast, we explore scapular dyskinesis, the abnormal movement of the shoulder blade. We discuss related terms like scapular misalignment and sick scapula, questioning the practicality of assessing it through visual observation. We highlight that identifying it as normal or abnormal may not guide treatment decisions or pinpoint the cause of shoulder pain. We also address its prevalence in athletes and non-athletes and suggest using various tests to assess scapular dyskinesis. Intriguingly, we'll reveal a surprising connection between scapular dyskinesis and an unexpected aspect of training, which might change the way you think about shoulder issues. So, join us for the full episode to uncover this fascinating insight.
Guest
Filip Struyf is a sportsphysiotherapist and professor at the Department of Rehabilitation Sciences and Physiotherapy at the University of Antwerp, Belgium. According to Expertscape, he is the #1 shoulder researcher world-wide. He teaches shoulder courses nationally and internationally and has created an online course together with us called “Rotator Cuff Related Shoulder Pain: Separating Facts from Fiction”.
Content
00:00 Intro
01:15 The "correct" definition
04:05 What is "normal"
12:05 Prevalence
14:21 Is it a functional adaptation?
16:46 Scapula Dyskinesia as a risk factor?
26:09 How do we assess it?
28:51 How reliable or valid is assessment?
32:39 Can we improve scapula movement?
39:09 What's up with focussing on the lower trapezius?
42:26 What about Rhomboid Pain?
46:21 Is there a place for scapula mobilization techniques?
49:42 Filip's closing thoughts
52:15 Outro
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In this podcast episode, sports physiotherapist and lifestyle expert Jaap Wonders discusses the several aspects of successful lifestyle interventions as part of the treatment plans in physiotherapy practice. He outlines the guidelines on proper sleep hygiene, diet and other important factors to take into account when prescribing a healthy lifestyle. We discuss the challenges of adopting healthy habits and what we can do about this.
Content00:00 intro 00:45 Why the interest in Lifestyle? 02:50 How to deal with unhealthy lifestyles 05:52 Failing to meet movement goals 10:43 Movement snacks 12:28 10K Steps a Day. What's the deal? 17:55 Recommendations on Nutrition 20:55 Healthy vs unhealthy Protein 24:55 The importance of sleep 31:16 How we address stress 36:09 Positive Stress 38:15 Mindfullness 39:05 Cold Showers 42:10 What doesn't kill you makes you stronger? 47:22 Lifestyle interventions in chronic conditions 58:00 3 steps to a healthier lifestyle 01:03:20 Closing thoughts 01:05:08 Outro
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In this podcast episode, physiotherapist Sarah Michiels discusses somatic tinnitus, a type of tinnitus that is often caused by dysfunctions in the upper cervical spine and jaw. She highlights the prevalence of somatic tinnitus and the importance of a comprehensive diagnosis to rule out other causes. The talk provides insights into her evaluation and treatment approach, emphasizes the role of physiotherapy in improving muscle function and coordination to manage this debilitating condition.
Content
00:00 Intro 00:46 Definition of Somatic Tinnitus 01:35 Tinnitus and the Cervical Spine 04:47 Prevalence of Tinnitus 06:22 Epidemiology of Tinnitus 08:15 Physiotherapy Diagnosis Possible? 10:30 ENT Diagnosis of Somatosensory Tinnitus 14:27 Special Testing for Tinnitus 16:00 Cervical Spine Assessments 17:35 Tinnitus and the Jaw 18:51 Red Flags 20:53 Physiotherapy Effectiveness for Somatosensory Tinnitus 22:00 Typical Treatment Course 23:20 What causes Improvements in Symptoms? 25:18 Tinnitus Relapse 27:10 Prognostic Factors 29:30 Sarah's Treatment Approach 31:48 Why Patients get worse 34:15 How to learn more about Tinnitus 35:10 Is MT knowledge required? 36:20 Sarah's Closing Thoughts 37:30 Could Van Gogh have been saved? 38:10 Outro
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Welcome to Physiotutors podcast episode 56 with Thomas Mitchell. Thomas is a wrist and hand specialist physiotherapist, and working toward his PhD at Sheffield Hallam. He is a physiotherapist of 25 years standing in primary care, private practice and sports. He is a First-contact Practitioner clinical supervisor and member of the British Association of Hand Therapists. He is also a Member of the Mulligan Concept Teachers Association, so the perfect person to talk to about the Mobilizations with Movement abbreviated as MWM.
He is also an instructor for our online courses and has developed the complete upper limb focus together with Andrew Cuff.
Content
00:00 Introduction 00:48 Definition of mobilizations with movement 02:42 Discussion on Mulligan's positional fault concept 04:14 Importance of symptom modification 06:39 Principles of mobilizations with movement 08:20 The concept of "Pill" in mobilizations with movement 10:36 The "Crocks" principle in mobilizations with movement 12:17 Empowering patients through functional positions 13:41 Personal adjustments in practice based on Mulligan's concept 15:33 Importance of Self-Treatment and Patient Expectations 17:03 Discussion on Plausible Fallacies and Patient Beliefs 18:40 Understanding Mulligan Concept and Pragmatic Approach 19:24 Explaining Treatment to Patients 20:40 Thomas Online Course 21:18 Differentiating MWM from Other Manual Therapy Techniques 23:16 Patient Control and Bottom-Up Approach in MWM 27:51 Evidence and Systematic Reviews on MWM 33:23 Importance of self-treatment and clinical expertise 35:57 Application of MWMS in chronic pain patients 37:40 Challenges with musculoskeletal rehab in the UK 40:13 Effectiveness of MWMS for lateral epicondylalgia and De Quervain's disease 44:34 Benefits of mobilizations with movement 47:36 Learning resources for Mulligan concept and MWMs 49:17 Thomas closing thoughts 51:08 Outro
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This episode of the Physiotutors podcast features Julia Treleaven, a researcher and physiotherapist, who discusses cervicogenic dizziness and its diagnosis. We delve into the condition's pathophysiology and prevalence in patients with chronic neck pain. We also discuss red flags to watch for during patient history taking and differentiating cervicogenic dizziness from other forms of dizziness. The episode covers functional tests used to assess balance and motor control and treatment options, including sensory-motor exercises, manual therapy, and posture correction. The discussion emphasizes the importance of focusing on the neck's role in such cases rather than just diagnosing the condition.
Content
00:00 Introduction
01:20 Definition
06:36 Characteristics of Cervicogenic Dizziness
12:08 Physical and Orthopedic Tests for Cervicogenic Dizziness
15:03 Functional Assessment for Cervicogenic Dizziness
18:25 Treatment for Cervicogenic Dizziness
26:10 Progressing Sensory Motor Control Exercises for Cervicogenic Dizziness
29:46 Role of the neck in dizziness
32:08 Research endeavors in neck-related dizziness
34:58 Determining the role of the neck in dizziness and the controversy of cervicogenic dizziness
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Nicol van Dyk is a physiotherapist and clinical researcher currently occupying the role of Injury Surveillance and Medical Research Officer with the Irish Rugby Football Union in Dublin, Ireland. In 2018 Nicol completed his PhD in Health Sciences at Ghent University, Belgium titled “Risk factors for hamstring injuries in professional football players.” During this time Nicol was a physiotherapist at the Aspetar Orthopaedic and Sports Medicine Hospital.
In this episode we are joined by Nicol van Dyk. We discuss injury prediction and screening tests, individual risk factors for athletes at risk of injury, the importance of clinical reasoning and individualized approaches as well as why it rains so much in the Netherlands....
This was a great episode to record and we hope you enjoy it.
Content
00:00:00 Introduction
00:01:00 Screening tests and injury prediction
00:05:10 Importance of screening tests in injury prevention and building athlete trust
00:13:14 Importance of Previous Injuries
00:17:47 Role of Technology and Social Support in Rehab
00:21:35 The Significance of Sleep in Injury Prevention
00:26:41 Understanding individual athlete risk factors
00:30:10 Importance of clinical reasoning and individualized treatment
00:38:08 Using mixed methods approach for injury prediction
00:41:09 Injury prediction vs risk estimation
00:44:32 Focus on performance and robustness
00:46:24 Importance of communication and empathy in physiotherapy
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Welcome to episode 53!
In this episode we are joined by Adam Dobson who is working as a specialist triage & treat spinal physiotherapist for South Tees Hospitals NHS Foundation Trust. He is the author of "Lumbar Radicular Syndromes - At a Glance" and actively shares his knowledge around radicular syndromes on his Twitter (@adamdobson123) and as guest on various podcasts. We are very happy to have him on the microphone for this episode. Enjoy!
Content
00:00 Intro 00:40 Definition of Lumbar Radicular Syndrome 02:57 Signs & Symptoms of Sciatica 06:12 Red Flags 14:14 Cauda Equina Pathway 19:20 Facet Joint Stenosis Differentiation 21:54 K.I.S.S. 22:30 Motor Control Exercises 24:45 Opinion on Piriformis Syndrome 30:20 Minor Neurogenic Dysfunctions 35:17 Treatment for LRS 38:55 Advice. Anything Else? 44:16 Clinical Decisionmaking 45:52 Adam's closing thoughts 50:47 Encore - Stenosis 53:05 Outro
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Andrew is a consultant physiotherapist from the UK with a special interest in the upper limb and particularly the shoulder, which is also the reason he has created a course on the stiff shoulder, the elbow and wrist for Physiotutors together with Thomas Mitchell. He is in the process of finishing his PhD this year on imaging for musculoskeletal conditions in primary care at Keele University, so he’s the perfect person to talk to about imaging!
Content
00:00 Intro 01:25 How far are we from ideal? 05:56 Scale of MSK Imaging 09:40 Why don't we stick to guidelines? 15:50 When imaging makes sense 21:35 Do Patients Expect Imaging? 23:49 Sponsor 24:59 The goal of Imaging 27:52 Risks of Imaging 30:27 Imaging Techniques 101 35:10 Should Physios use Ultrasound 37:56 Scan interpretation as a skill? 43:10 How to explain imaging findings 48:15 Andrew's closing thoughts 49:49 Outro
Sponsor
This episode is sponsored by the CSP student conference 2023. For more information and to sign up visit: https://www.csp.org.uk/studentconference23
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Hi and welcome to Physiotutors podcast episode 51 with Henrik Riel.
Henrik is a physiotherapist from Denmark and has obtained his PhD in the management of plantar heel pain. He is doing a post-doc fellowship at the university of Aalborg and he is an assistant professor at the physio department of the university of northern Denmark.
In this episode we will talk about plantar heel pain etiology, the risk factors associated with it, Henrik's approach to examination, imaging, and treatment. We will answer the question if there are prognostic factors for the condition, what mode of strength training is recommended and discuss the efficacy of adjunct treatment modalities for plantar fasciopathy. So make sure to listen to the entire episode.
Content
00:00 Intro 00:45 Plantar fasciitis, Plantar Fasciotpathy or Plantar heel pain? 02:41 Is it a tendinopathy? 03:33 The typical patient 04:40 Risk factors 07:13 Signs & Symptoms 09:05 Differential Diagnoses 10:10 Examination/Imaging & Testing 13:00 What about Heel spurs? 14:10 Prognosis 19:28 Isometrics for Plantar Heel Pain 22:04 Treatment Options 26:35 Load Management 28:15 Plyometrics/SSC Exercises 30:54 Henrik's Closing Thoughts 32:00 Outro
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In this episode we will talk about all things shoulder instability. You will learn more about the Stanmore classification and structural damage after dislocations. We will discuss the typical patient with shoulder instability and how an examination process looks like. We will touch on muscle activation patterns, surgery and how physiotherapeutic management of a patient with shoulder instability could possibly look like. So make sure to listen to the whole episode!
Our guest is Anju Jaggi. She is a physio consultant shoulder specialist at the royal national orthopedic hospital in stanmore, UK. She’s a past president of the European Society of Shoulder & Elbow Rehabilitation (EUSSER) and a published researcher with a particular interest in shoulder instability.
Content
0:00:00 - 0:01:08 Introduction 0:01:08 - 0:02:32 What is Shoulder Instability? 0:02:32 - 0:05:50 What causes the shoulder pain? 0:05:50 - 0:13:44 TUBS/AMBRI/Neuromuscular 0:13:45 - 0:18:13 What gets damaged in the shoulder? 0:18:13 - 0:22:22 The typical patient fenotype 0:22:22 - 0:28:55 Examination Process 0:28:55 - 0:30:05 Special testing 0:30:55 - 0:34:29 How to test the cuff 0:34:29 - 0:37:16 When is the cuff weak? 0:37:16 - 0:40:05 Muscle activation patterns 0:40:05 - 0:43:30 Risk factors 0:43:30 - 0:46:14 Risk of Developing OA 0:46:14 - 0:47:58 Relocating a shoulder as physio 0:47:58 - 0:55:02 Shoulder Instability Rehab 0:55:02 - 1:00:21 Surgery vs. Physio 1:00:21 - 1:01:38 Anju's closing thoughts 1:01:38 - 1:03:10 Outro
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Welcome to episode 49!
Today's guest is Mike Reiman who is a physiotherapist, active clinical researcher, educator and mentor with a special interest in the hip. He is also an associate professor at Duke University and an adjunct professor at Wichita State University.
In this episode we will talk about femoroacetabular impingement abbreviated as FAI. You will learn more about FAI morphology and the development of FAI. Mike will elaborate on the epidemiolgy of FAI, what can trigger symptoms and the prognosis in regards to the development of hip osteoarthritis. Of course we will talk about diagnosis and physiotherapeutic treatment and finish of with a discussion about surgery for FAI.So make sure to listen to the whole episode! Enjoy!
Content
0:00:00 - 0:01:04 Introduction 0:01:00 - 0:02:50 What is FAI? 0:02:50 - 0:04:35 How FAI develops 0:04:35 - 0:08:10 Epidemiology of FAI 0:08:10 - 0:09:52 Asymptomatic FAI 0:09:52 - 0:13:13 Triggers for symptomatic FAI 0:13:13 - 0:18:13 Prognosis: Do patients develop hip OA? 0:18:13 - 0:21:34 Screening 0:21:34 - 0:25:35 History & Examination 0:25:35 - 0:28:13 Confirming the Diagnosis 0:28:13 - 0:29:45 Imaging necessary? 0:29:45 - 0:31:54 Muscle Strength Testing 0:31:54 - 0:45:10 FAI Rehab Start to Finish 0:45:10 - 0:48:45 How good is Physio for FAI? 0:48:45 - 0:53:40 How good is Surgery for FAI? 0:53:40 - 0:58:30 How to choose: Surgery or FAI 0:58:30 - 0:59:50 Mike's Closing Thoughts 0:59:50 - 1:00:29 Outro
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In this episode we will talk about different rheumatological conditions that can mask as musculoskeletal pain and how to recognize them. Our guest is Jack March, a physiotherapist specialising in rheumatology who provides CPD courses on the recognition, investigation and management of rheumatological conditions. We will shine a light on imaging and medical tests for different conditions and cover differences between genders. At last, we will discuss how patients with rheumatism are best treated, talk about precautions during exercise and how to positively influence their prognosis. So make sure to listen to the whole episode! Enjoy!
Content
00:00 - 00:58 Introduction 00:58 - 02:18 What is Rheumatism? 02:18 - 03:47 Rheumatological diseases to know 03:47 - 05:28 When to think it's Rheumatic 05:28 - 08:16 Screening for Rheumatoid Disorders 08:16 - 11:46 How Rheumatoid Inflammation is different 11:46 - 15:32 What are the Signs & Symptoms 15:32 - 17:04 How helpful is Imaging? 17:04 - 18:55 Difference in males vs. females 18:55 - 22:10 Testing for Rheumatoid Disorders 22:10 - 27:11 Referral to Specialist Management 27:11 - 35:45 What Physios can do in RD 35:45 - 37:55 Jack's Closing Thoughts 37:55 - 38:54 Outro
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In this episode we will talk about the demonization of and the future of manual therapy with Chad Cook. Chad is physiotherapist, a professor at Duke University and a clinical researcher who has published over 330 peer-reviewed papers. One of the latest papers he has published is called “The Demonization of manual therapy” where he evaluated common critique on manual therapy based on the current literature.
News: We do have an announcement to make: You might be wondering why you’re listening to a podcast host with a German accent. Our former podcast host Sunny Sandhu has left us to work in the clinic again full-time after hosting our podcast for 46 episodes. We wish him all the best and his British accent will be dearly missed.
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Content:
00:00:00 - 00:01:46 : Introduction
00:01:46 - 00:02:48 : Chad's definition of MT
00:02:53 - 00:04:54 : The Pendulum has swung too far
00:04:55 - 00:07:20 : How is MT different from other modalities?
00:07:25 - 00:09:04 : Does hypomobility assessment still have a place?
00:09:05 - 00:10:26 : Do we need to be specific with MT?
00:10:28 - 00:13:44 : How to know when to use MT in a patient
00:13:48 - 00:16:37 : Is the cost of current MT education justified?
00:16:40 - 00:21:31 : Time to embrace the placebo effect?
00:21:34 - 00:24:42 : The biggest critique on MT
00:24:44 - 00:26:11 : Are we sending the wrong message to patients?
00:26:14 - 00:32:10 : The value of Costs vs. Patient Satisfaction
00:32:16 - 00:36:05 : How MT education needs to change
00:36:06 - 00:39:24 : The future of MT
00:39:25 - 00:40:34 : Outro
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Research and evidence based practise are the cornerstone of the modern clinician - ensuring that we use the best, up to date methods to support our clients and patients. With that said however, there's so much out there, how can you be sure what you're reading is worthwhile, is relevant or of any half decent quality. We have to understand the limitations of the research we're reading to understand the implications and potential application of that research too. It's unfortunate, but when working with people - whatever your discipline - there's no one size fits all approach and there's always nuance. With that said, myself and James spoke about why we need to dig further than just the abstract before we make up our minds on a research paper, to fully gage whether it is of clinical or statistical significance! We discuss what are some of the things you should look out for when reading and discerning research as well as some of the wider elements of research to better understand that world.
I speak with the amazing Dr Melissa Farmer, Clinical Psychologist, Neuroscientist, researcher, CCO & co founder of Aivo Health! Melissa and I talk about chronic pain and the influence that has on both the brain & body as well as what we can do in clinic to both utilise these changes as well as how we can manage our patients with chronic pain with our approach to help them both feel seen and heard. We discuss her approach as to how she applies her research in clinic and what the importance is of getting research into clinics quicker rather than how it now trickles down! We touch on a lot of different topics throughout the hour, tune in and find out!
We've returning guest the always fantastic Enda King with us this month to discuss ACL Biomechanics & movement strategies post op - an area where Enda had done his PhD in! We look at how you can objectively help your patients even if you don't have a fancy biomechanics lab, where the idea of a 10% difference for RTP comes from and how that translates into reality as well as how you can coach your patients without coaching through movement constraints! Tune in to find out more!
We've returning guest the always fantastic Enda King with us this month to discuss ACL Biomechanics & movement strategies post op - an area where Enda had done his PhD in! We look at how you can objectively help your patients even if you don't have a fancy biomechanics lab, where the idea of a 10% difference for RTP comes from and how that translates into reality as well as how you can coach your patients without coaching through movement constraints! Tune in to find out more!
This months guest is Curtis Anderson, a severe traumatic brain injury (TBI) survivor for a new area we’re looking to dive deeper into on the podcast – the patient’s perspective. We talk to Curtis about his 20 year journey and how he defied what was initially thought possible for the full extent of his rehab. After 3 weeks in a medically induced coma he spent a year in a rehabilitation center and he has since gone on a journey to be a motivational speaker helping other get through their own journeys as the prime example of what can happen when you don’t give up, even after 20 years, when you are determined to treat every day as an opportunity to do better, be better and perform better. In his own words, it took him 8 years to learn to drive again, 8 years to use a staircase with the railing on the left side, 10 years to be able to pick up change from the counter top & 16 years to pick it up off of the ground! He's an inspiration and the personification of never giving up and I hope you enjoy hearing about his journey as much as I have!
On this episode I speak to Dr Sarah Haag about pelvic floor physiotherapy - from what we need to listen to when talking to our patients to when we should refer on for a specialist and beyond! Tune in to this episode as we explore an area of the body that has, for me, for all intents and purposes, been a bit of a black hole that, I admittedly say on the podcast - I'm glad I've worked previously with pelvic floor specialists in the same clinic as I would never have even recognised to refer on in the past! An area under-explored by our education (there's a lot to cover during the education - not hating) I hope this episode can, for you, help shine a light on the area where the sun don't shine!
On this edition of the podcast we talk with Dr Ahmad Malik, foot & ankle orthopedic consultant. We start the discussion looking at surgeries, what constitutes a good or bad candidate for surgery as well as reactions to metal work after the fact. In addition to that, we discuss the importance of listening to your patients and fully exploring their situation and not just writing them off as a complaining patient or the classic "get over it" sort of answer! It's something that we as healthcare professionals should value very highly and a conversation that everyone can take something from, however it's safe to say given the conversations I've had with both patients and fellow colleagues as a result of the podcast that not all healthcare professionals take the time to fully hear what their patient is telling them! Â
On this episode of the podcast I talk with Lizzie Marlow, an MSK physiotherapist & educator specialising in lower limbs with special interests in running injuries, lower limb tendinopathies & of course management & treatment of achilles ruptures. We talk about everything surrounding Achilles tendon rupture rehabilitation. From the initial assessment to the rehabilitation - as well as what is important at the initial stages of identifying the rupture (I have unfortunately seen a 1 or 2 missed...) - utilising ultrasound to get the optimal position for the torn tendon to repair as well as decisions on whether or not to operate, then guiding through the rehabilitation process itself!Â
This time we speak with Katie Mitchell, a researcher, educator, physical therapist, athletic therapist & clinic owner with a special interest in concussions and rehabilitation as well as the role our neuromuscular connection plays into rehab - not just in the post concussion athlete, but para-athletes, musculoskeletal complaints & rehab as a whole! We discuss compensation strategies - briefly how & why they come about, as well as how Katie tackles that in rehabilitation by getting the patient to indirectly address the compensation strategies through task modification! We also touch on how we can use these strategies for something as simple as an ankle sprain, to post op & more! Tune in to find out more! Â
This month we're speaking to Ben Steele-Turner (@PhysiUtrition). Ben is a Physiotherapist with a Msc in nutrition having spoken on the topic in conferences and a lecturer in musculoskeletal health. Next to that he's also a personal trainer and previously competed in body building fitness competitions - he stays busy! We spoke about the importance of nutrition, what counts in your micro's and macro's when you're talking about injury rehabilitation and just how particular one needs to be about their intake! In addition we discuss ethics in the world of social media and how we as healthcare professionals can help to lift the profession
This time we're joined in studio with none other than returning guest, Claire Robertson! Claire is back to talk to us about patellofemoral pain syndrome (PFPS). From defining what it actually is as an all encompassing term, to rehab strategies and potentially what adjuncts may be useful. Don't forget to head over to www.physiotutors.com/courses to check out our latest course with Claire Robertson on everything you need to know about PFPS including real life case studies and example rehab exercises to complement your programming, everything you need to go back into clinic on Monday feeling more competent and confident!
This time we're joined by hip specialist Mehmet Gem to discuss hip pathologies, how you're going to assess patients in clinic and how you can, without further imaging begin to develop a picture of what might be going on in your patients hip to determine whether or not further action outside of physiotherapy alone is needed! We dive deep on FAI and Mehmet's own experience there post op and discuss what he would do differently knowing what he knows now all these years later and the importance of a well structured loading program! That and much much more on this hip-centric episode of the Physiotutors Podcast - tune in to find out more!
Join us as we sit down with Yoeri Pegel - head of strength for Ajax football club in Amsterdam as well as working with Olympic athletes & elite combat sports athletes. We talk about everything from training in season & out, how to maximise gains and when to focus more on maintenance. Yoeri discusses his approach to coaching, cueing and being flexible to the audience you're working with, as well as what "sports specific" training means and the principles he takes in to every session! In addition to that we touch on how he looks at and measures fatigue so you know when to and more importantly, not to push the athletes!
In this episode we talk about what it is your orthopaedic surgeon would consider (and what Dr. Jorge Chahla heavily emphasised - in consultation with the patient) in the decision making process as to whether or not surgery was a suitable option, or if something such as biologics would be a better option. We touch on the decision making process in elite sports where Dr Chahla works with the Chicago Bulls, White Sox & Fire FC where time constraints may cause one to choose a different decision making process. On top of that we talk about what orthopaedic surgeons look for in the physiotherapists they work with and what factors go into a successful rehabilitation!
Yann Le Meur sits down with us to discuss recovery & sports performance through his work with elite athletes from the French Olympic team over 3 Olympic cycles, to the world number 2 in tennis Daniil Medvedev & AS Monoco to name but a few. We discuss everything from his role in aiding the athletes sports performance & recovery, and where he feels the MDT approach has proved to be of the utmost importance in creating better outcomes through a better understanding of the athletes they are working with. Yann also talks about how he believes the best way to have optimum recovery isn't necessarily all about the post-game or post-training elements, but also how well trained an athlete is before the even get to the field/court/mat/pick your poison!
On this episode of the podcast we talk with Vestibular Rehabilitation specialist Firat Kesgin about the intricacies of vestibular rehab, and just how complex it can be, what the effects are if a patient is misdiagnosed and then continue down the "wrong" pathways, as well as what you can do to help aid and guide their rehab. If you've listened to our podcasts on concussions you will know just how pivotal an early diagnosis of a vestibular issue can be and when left unchecked and untreated how devastating the results can be! Tune in to find out more! Firat is also the man behind our giant mega-course, published recently on vestibular rehabilitation (you can find out more on www.physiotutors.com/courses) Check it out! Let us know your thoughts!
In this episode of the podcast we talked to a leader in the field of headache & migraine research. As a practising physiotherapist René has the fortune of being able to take his research and apply it directly in clinic, applying not just statistically significant but also that which will in turn be clinically significant and appropriate for use. We discuss assessment strategies for headaches, what you can look out for in your history taking and approaches for physiotherapeutic treatment.
In this episode of the podcast I get to speak with Roger Kerry, physiotherapist, researcher & educator. Roger Kerry has lectured internationally extensively on the topic of Cervical Arterial Dysfunction (CAD) to help bring to light an area of physiotherapy that we may not be addressing as much as necessary. We discuss signs & symptoms to look out for in patients when you suspect CAD may be an issue, what your next steps are as a physio as well as what are the predisposing factors to help in your clinical reasoning!
In this episode of the podcast I get to speak with Pat Camp - a respiratory rehabilitation specialist and researcher with around 3 decades experience as a physiotherapist & over a decades experience in research for respiratory physiotherapy. Pat is also the host of the LungFit podcast where she discusses the latest in pulmonary rehabilitation. We speak about respiratory rehabilitation in chronic patients as well as addressing the elephant in the room that is Covid 19. We talk about structuring your rehab plan with chronic patients, how you can build with those patients and talk about what aspects from other lung diseases we may be able to carry over into Covid-19 rehab keeping in mind just how little is still known with regards to long term issues.
Whilst we do discuss Covid 19 patients and I myself have seen a few covid recovered patients - both myself and Pat want to make note that this was recorded early in 2021 whilst not a lot of information was available for post-covid rehabilitation however we hope that you still have some take away moments from that aspect of the podcast!
Today I'm speaking with the man behind the newest online course Central Sensitization - Jo Nijs - member of the famed Pain In Motion research group. We talk about central sensitization - the pillars behind the approach that the PIM group utilise, wider aspects of research and environmental aspects that can influence the pain response and recovery such as diet and sleep and how you can take that directly into practise along side your graded exercise/exposure program as well as tackling patient beliefs.
In this episode of the podcast I get to speak with the man behind Squat University - Aaron Horschig, who himself is an ex competitive Olympic style lifter, Physiotherapist, writer & speaker working with some of the cream of the crop in competitive sports - from NFL to competitive weightlifting. In this episode we address the elephant in the room of biomechanics - do they really matter? Is technique that important or is there something to the social media influencer style of "just getting it done, doesn't matter how". We discuss the wider implications and the evidence behind why some beliefs have developed around lifting and technique as a result of certain studies. Listen in to find out more... oh, and yes, we do discuss the squat! Â
In this episode of the Physiotutors podcast I get to speak with Clint Wattenberg - Director of nutrition at the UFC performance institute & has previously worked as the head of sports nutrition at Cornell university as well as working with those with eating disorders! Today we talk about not only nutrition for the modern athlete, but also the effects of eating disorders on poor nutrition, diet choices, veganism, as well as what positive steps you can make when recovery from injury - soft tissue or otherwise - to help improve & boost the recovery process. Â
In this episode of the podcast we're joined by Darren Burgess, current High Performance manager at Melbourne FC and former Director of High Performance at Arsenal FC as well as Liverpool FC. We get to talk to him about managing athletic performance at the highest levels of elite sport, how we can go about measuring both performance & recovery in our athletes for their readiness to perform as well as looking at how to manage their S&C work, pre/rehab work and how to balance all of that alongside getting players on the field for game time! Join us as we dig in deep on Darren's knowledge as a lecturer & researcher, and briefly touch on his own adventure into podcasting & more!
In this super sized episode of the podcast I sit down (twice so a small audio shift) with Ian Gatt - there was just so much for us to cover that we quite simply couldn't fit it all in to 1 recording, and we've still barely scratched the surface! We look at hand, wrist & elbow injuries in combat sports - Ian is the head physio for GB boxing, upper extremity specialist in the team GB Olympic physio team as well as Anthony Joshua's physio. We discuss assessment strategies, where importance within rehab should (or shouldn't) be, combining S&C with rehab, different treatments and much more! Ian is a gold mine of knowledge and I hope you enjoy listening as much as I did recording!Â
In this edition of the podcast we talk with Filip Struyf to help clean up the murky waters around the shoulder complex and discuss why special tests may not be so special anymore - but may still have a place in your therapy! We also touch on how you can better direct your rehab and what elements are key for a positive outcome. Listeners of the podcast can also get €50 euro's off Filip's online course with the code RCRSP50 !
This time we speak to Paul Hobrough, a leading expert in shockwave, physiotherapist and educator on the topic. Paul has worked with some of the elites in sports and we talk to him on just how much the addition of Shockwave into his physiotherapeutic practise has helped boost positive outcomes for his patients and speed up recovery times in both acute and chronic pathologies. We also discuss where shockwave research is heading and the positive outcomes it has so far produced when used in neurological patients!! Listen in to find out more!
On This episode we talk with Enda Kind, a physiotherapist, S&C specialist, researcher and educator. We get to talk with him about what successful rehabilitation and return to sport/function entails, and how you can work on movement patterns, segmental control within the kinetic chain as well as tips on coaching your patients to optimise outcomes, and how treating just the pathology might be the reason why a patient might not be making the expected improvements - listen in to find out more!
Today on the podcast we're joined by the world renowned Jill Cook - an expert and leader in tendinopathy rehabilitation and research! We cover the basics that you should look out for - what's important in your screening and why exercise prescription is far and away the biggest aspect to successful rehabilitation for your patient - but making sure you're really rehabbing a tendon and not misdiagnosing! Tune in as we take a deep dive into educating your patients and your clinical practise!
!!PAIN SCIENCE IS NOT AN INTERVENTION!! But as physio's we can use our understanding to provide patients with ways they can better understand and manage their symptoms - and that's where this episode takes us with Lars Avemarie, a physio, writer & educator, from using the DIMs/SIMs model to fostering self efficacy, then we take a brief dive into what using an EBP approach actually means for you and where your clinical experience factors in! Lars guides us through some of his own patients to give us take aways we can apply directly into practise, tune in to find out more!Â
In a Physiotutors first, we were lucky enough to have Paul Venner live with us at the Physiotutors HQ to discuss Ultimate Instability - a tool used worldwide in elite sport and rehabilitation centres around the globe. In addition we talk to Paul about his approach to training with athletes - training methods and approaches that he utilises with Olympic athletes leading to increased learning speed and skill development with the utilisation of the Frans Bosch method! Tune in to find out more!Â
This episode is a little different to the norm - I talk to both Molly and Natasha about concussions and their varied experiences on rehab from the patients perspective and the clinicians - what skills can help you stand out in the crowd and where the soft skills become invaluable in helping your patient deal with their injury. We also discuss their upcoming concussion call and the relevance for both clinicians to improve their understanding and shape their practise and those living with concussions on how to better deal with potential complications as well as dealing with the holidays!
This time on the Physiotutors podcast we talk with Brodie Sharpe, the host of the Run Smarter podcast, a physiotherapist and a running enthusiast himself. We discuss running related injuries and the importance of recovery - this is also the topic of this upcoming month for the Run Smarter podcast - the importance of recovery! On this episode we look more specifically at when to and not to rest, the importance of a good balance between S&C, running and rest and how this can combine to produce positive outcomes for your patients.
This time I chat with Ryan Timmins to discuss his work in hamstring injury research, a senior lecturer and researcher with well over 50 publications to date, we pick his brain and get his take on current literature research and we should be taking forward to our patients. We discuss injuries and return to sport, and talk about how we can optimise hamstring regrowth following ACL surgery (from a hamstring/hamstring + gracilis graft. We then get into training volumes and loads pre season and during to optimise injury prevention and compliance! Tune in to find out more!
This time I get to chat with Anthony Teoli to discuss knee OA, an educator and physiotherapist specialising in knee OA. We discuss the signs and symptoms we as physios should look for and how we can help our patients. We discuss the benefits of exercise therapy and tailoring your approach for your patient to ensure their compliance with, and engagement with the program!
In this edition of the Physiotutors podcast we talk with Kjartan Fersum about cognitive functional therapy (CFT) and how he integrates that into his daily practise, utilising it with chronic and acute pain patients to help them navigate their problems and it's role within physiotherapy. Kjartan provides us with methods you can easily take into your daily practise to improve your communication with your patient as well as help the progress on their journey of rehabilitation, stepping out of the "I will fix you" mentality and more into a therapeutic alliance with the patient.
In this episode of the Physiotutors podcast we talk to Natasha Wilch as a follow up to our previous podcast on concussions. We discuss paediatric physiotherapy, rehabilitation and her personal experience utilising concussion prehab exercises! Return to play (RTP) as well as returning to different levels of activity were hot topics during this talk! We discuss what happens when the body systems compensate, masking deeper problems as a result of the concussion and how important it is to identify this. In addition we talk about the necessity of an MDT approach for those with concussions and briefly touch on CTE and the dangers surrounding that. Tune in to find out more!
In this episode of the Physiotutors podcast we talk to Molly Parker about concussions, concussion management, rehabilitation and her personal experience as a physio who's a patient with a concussion. We discuss the dangers of concussions going undiagnosed and the drastic affect this can have on your body and ability to function. We dive a little into the pathophysiology and perhaps more importantly, how imperative it is to make sure you have the right healthcare professionals involved in rehabilitation, not just physiotherapists. We highlight some of the differences someone may face with an acute concussion and also with prolonged concussion symptoms. Tune in to find out more!
In this edition of the Physiotutors podcast we talk with Mark Laslett about diagnostics and it's role within physiotherapy, how treating it as a distinct science can help improve your practise. In addition to this we discuss lower back pain and sacroiliac joint issues. Talking with Mark you can feel his passion for physiotherapy and over 50 years of experience both in clinic and conducting research. Mark talks us through some of the research he has conducted and the impact it has had on his practise!Â
In this episode of the Physiotutors podcast we talk to Jarod Hall about pain, pain management and effective communication with your patients. We discuss a few methods that you can take directly into practise, addressing not just the "what to say" but also ways in which you can frame your conversations and approach with patients when discussing their pain. As well as this, we touch on pain science and how it's use as an "intervention", although with the best of intentions, has been misused or misinterpreted by therapists as a basis for treatment. Tune in to find out more!
In this episode of the Physiotutors podcast we talk to Nick Rolnick about Blood Flow Restriction (BFR), the evidence behind it and why it can prove to be an invaluable tool for patient rehabilitation right across the board! We discuss how to effectively utilise BFR as well as parameters to utilise for patients post operation, how it can be beneficial in geriatric rehabilitation as well as helping gain an extra edge in general training too. Tune in to find out how you may be able to utilise BFR to help your patients speed up their rehab!
In this edition of the Physiotutors podcast we welcome back Glen and Ben to discuss chronic hip complaints - that's those folks who have been dealing with their issues for three months or longer. We cover aspects of conservative treatment to avoid surgery as well as discussing what aspects of a patients' complaints may warrant further investigation with surgery as a potential outcome! As well as this we look at different assessment methods you can utilise when confronted with patients suffering from chronic hip complaints.
In this edition of the Physiotutors podcast we talk with Nick Hannah about the biopsychosocial model of physiotherapy. We cover what the biopsychosocial model includes, how to implement it and topics such as tackling belief systems, how to approach the subject of pain with a patient as well as talking about our personal learning moments with patients where things took a less than desirable outcome!Â
In this episode of the Physiotutors podcast we talk to Ben and Glen about running related injuries, and how to help prep any patients of yours you may have preparing for upcoming marathons. We discuss how to approach your assessment strategy, key signs to look out for, and different approaches on how to help get your patients fit, healthy and ready to hit the pavement again without issues or re-injuries.
In this edition of the Physiotutors podcast we talk with Rob Sillevis about manual therapy covering manipulations and the affect on the body, talking about the research he has conducted on the autonomic nervous system in response to manipulations. We also discuss how manual therapy should be used as an adjunct to patient treatment, and not the sole component of a patient's treatment plan.
In the third installation of the Physiotutors podcast, we talk about Hoffa's fat pad complaints and rehabilitation with one of the leading physiotherapists in the patellofemoral pain syndrome and Hoffa's fat pad complaints - Claire Robertson. We discuss how her research has helped outcomes of her patients who are often referred to her by other therapists due to her expertise in treating this patient category. In addition we touch on what she believes are areas that can be frequently overlooked for patients during their recovery by therapists, and even what clues therapists miss during the patients initial presentation of their symptoms. We also touch on the importance of treating the person and not just the condition.Â
In the third installation of the Physiotutors podcast, we talk about Hoffa's fat pad complaints and rehabilitation with one of the leading physiotherapists in the patellofemoral pain syndrome and Hoffa's fat pad complaints - Claire Robertson. We discuss how her research has helped outcomes of her patients who are often referred to her by other therapists due to her expertise in treating this patient category. In addition we touch on what she believes are areas that can be frequently overlooked for patients during their recovery by therapists, and even what clues therapists miss during the patients initial presentation of their symptoms. We also touch on the importance of treating the person and not just the condition.Â
In the second installation of the Physiotutors podcast, we talk about ACL rehabilitation with one of the leading physiotherapists in the field of ACL rehab - Bart Dingenen. We discuss how his research has helped to develop the post-op outcomes of his patients. In addition we touch on what he believes are areas that can be frequently overlooked for patients during their ACL recovery by therapists. As well as this, we also discuss external cueing and the impact this can have.Â
In this very special first addition of the podcast, we take the opportunity to sit down with Kai and Andy to talk about their respective journey's into physiotherapy and consequently the formation of the Physiotutors as you and I know them today.