On The Fence Physio: Recent Episodes

Andrew Wiseman

On The Fence Physio is a physical therapy podcast that discusses, debates, and derails the “gray” issues in physical therapy. If you were ever answered by a professor “it depends” this is the place for you

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Our hiatus is over and no explanation will be offered. Andy and Matt return to the basics of discussing the who, what, where, and why around the use of MDT in neck pain.

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Marymount standout Henry Iraheta stays cool under pressure as his CI puts the squeeze on this scoping review of BFR literature.

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Chronic Plantar Heel Pain Is Principally Associated With Waist Girth (Systemic) and Pain (Central) Factors, Not Foot Factors: A Case-Control Study: Journal of Orthopaedic & Sports Physical Therapy Published Online: 31 Aug 2021 Volume 51 Issue 9 Pages 415-472

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Matt and Andy wrap the conference up in style with education takeaways, discussion around professional development, and marijuana puns. Play and pass this episode with your besties.

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Matt and Andy only want to bring you the lates bleeding edge therapy, so we spent most of the day stroking our bias in ACLR talks. Click here for our summary of Day 2 at CSM!

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Andy and Matt have left the safe confines of home to bring you updates from the most grand gathering of physios across the land. Make sure to layer an extra towel, cuz these takes are hot!

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Matt and Andy throw down in this jam packed episode discussing all the ways PT companies try to hook vulnerable new grads and appease the old dinosaurs

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Rising star of Marymount University completed 12 grueling weeks under the tutelage of Andy, but being a masochist decided to take on this topic. Listen to find out how common persistent pain is and what factors may predict it.

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In this tightly contested bout Matt and Andy argue for the use of the most unpopular drugs in the market. Or maybe not. The literature on this one leans a bit more heavily on one side of the fence than previous episodes.

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Glide it, Roll it, Pull it, Twist it, Bop it. Matt and Andy take on the role joint mobilizations should and shouldn’t play in physical therapy. Our most moving episode to date.

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How do you diagnose your patients’ problems? Fancy anatomy terms you keep on flash cards or ambiguous movement disorders you learned from a guru? Can we even diagnose what is causing your patient’s problem? How many puns can Matt take before he ends the show? Find out in this episode of your favorite podcast you use as an excuse to not listen to your friend’s podcast about craft beer.

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These are the top ten most clickbait titles: number 5 will leave you speechless!

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We (humans) use story telling as a way to communicate. In Physiotherapy, we create stories to help patients to understand and retain information about their healthcare. Andy discusses this concept and gives specific examples as he talks... to himself. Cool.

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How should PT’s be paid for their services and expertise? Should how we are paid affect what we do or don’t do? Why did OTF go on a 2 month break? All these questions answered and more.

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Saad MC, Vasconcelos RA, Mancinelli LVO, Munno MSB, Liporaci RF, Grossi DB. Is hip strengthening the best treatment option for females with patellofemoral pain? A randomized controlled trial of three different types of exercises. Braz J Phys Ther. 2018 Sep-Oct;22(5):408-416. doi: 10.1016/j.bjpt.2018.03.009. Epub 2018 Apr 4. PMID: 29661570; PMCID: PMC6157473.

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A thrilling conclusion to our first season of OTF Physio, fitting that we discussed when we end a plan of care in PT, who ends it, and why we should end it. We try so hard, and get pretty far, but in the end, does it even really matter?

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The holidays are over, so what is the most important question? What did you get? Well Matt and Andy got you listeners a special episode full of goodies: Winter puns, John Wick, murder hornets, and shameless self-promotion (batteries not included)

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2nd year Howard University SPT drops to knowledge on our listeners on what she found in her search for answers. Her question: for what patients is non-surgical management effective for RTC pathology. The answer may surprise you, that is, as long as you aren’t a cynical jerk like our host.

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Should we tell our patients to exercise? To stay active? Is there a difference between physical activity and exercise? Can Matt stand cohosting with Andy for one more year? All these questions answered, and more!

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Extra Special Host Dr. Melanie Wiseman MD, discussing a primary care physician perspective on referring out knee osteoarthritis patients. Game of Thrones and Mandolorian references included free of charge. Deyle GD, Allen CS, Allison SC, Gill NW, Hando BR, Petersen EJ, Dusenberry DI, Rhon DI. Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee. N Engl J Med. 2020 Apr 9;382(15):1420-1429. doi: 10.1056/NEJMoa1905877. PMID: 32268027.

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Matt and Andy venture boldly into the murky depths of continuing education. Funny terms made up by gurus may be the highlight of this episode; certainly NOT Andy trying to rap his feelings.

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In this episode our obnoxious hosts play with sound effects and discuss PT Metrics. As stated in the show, the views expressed on metrics by the hosts and participants are not reflective of their employer’s, and also are not intended to sound disparaging of business practices. Join in on our next discussion by following @OTFPhysio on Twitter!

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In this episode Matt takes the reigns, Andy derails the conversation with low brow puns, and we discuss how and when to expose and avoid patients in pain.

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Andy and Matt discuss potential costs and benefits around postgraduate residency and fellowship programs. Have you ever considered specialty training? Well, our sources are biased, but our financial incentives are nil, so listen in to the 5th OTF podcast

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Pre-operative physical therapy is becoming more and more popular; when is it valuable? What benefits does it provide? Is it for everyone? Matt and Andy, newly minted OCS’s, summarize the discussion around prehab while failing to be funny.

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What do you say when your patient asks for a specific treatment or intervention?

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Is physical therapy an essential service the the face of the COVID 19 pandemic?

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In the pilot episode, Andy and Matt discuss issues around how much PT is the right amount of PT? How do you determine a plan of care on the eval day? To join in on the conversation, follow @OTFPhysio