[Physio Discussed] Beyond surgery: nonoperative approaches to ACL injuries with Dr Kieran Richardson and Dr Steph Filbay

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Oct 9, 2024

Dr. Kieran Richardson is a Specialist Musculoskeletal Physiotherapist passionate about non-surgical ACL management, while Dr. Steph Filbay is an esteemed Principal Research Fellow dedicated to improving outcomes for ACL injuries. They discuss the critical role of physiotherapists in guiding patients through surgical and non-surgical options. Topics include the impact of meniscal tears, cross-bracing protocols, and fostering informed patient decisions about treatment. They highlight rehabilitation's importance and advocate for understanding the potential for recovery without surgery.

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ADVICE

Physio's Role in ACL Management

Discuss surgical and non-surgical ACL options with patients, explaining the evidence and likely outcomes.
This helps patients weigh pros and cons and choose the best treatment route.

ADVICE

Physios: Believe in Your ACL Role

Physios should see themselves as vital in ACL management, taking time to explain options to patients.
Communicate these options online and through various channels to reach a wider audience.

INSIGHT

Evidence-Based ACL Advice Lacking

Many patients don't receive evidence-based advice, with advice often skewed towards surgery despite research.
A new online decision aid synthesizes evidence on ACL treatment options, helping patients and clinicians.

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Introducing our new, longer form podcast, Physio Discussed, where 2 expert guests and our host explore everything you need to know about your favourite topics!

In this episode, we discuss:

The Physiotherapist’s role in discussing both surgical and non-surgical options with the patient
Early surgery vs delayed surgery
Cross-bracing protocol for non-operative ACL management
How to have the conversation of treatment options for patients
What type of meniscal tears (in the presence of ACL Injury) are recommended for surgery vs non-surgical management
Osteoarthritis in surgical vs non-surgical management
Return to sport post ACL injury

Want to learn more about non-surgical ACL Rehabilitation? Kieran recently did a brilliant Masterclass with us, called “Non-surgical Management of ACL Tears" where he goes into further depth on this topic.

👉🏻 You can watch his class now with our 7-day free trial - https://physio.network/podcast-richardsonfilbay

A/Prof Steph Filbay is an NHMRC Emerging Leadership Fellow, Dame Kate Campbell Fellow and Principal Research Fellow within the Centre for Health, Exercise and Sports Medicine in the Department of Physiotherapy at the University of Melbourne. A/Prof Filbay leads a team aiming to improve outcomes for people with ACL injury across the lifespan.

Dr Kieran Richardson is a Specialist Musculoskeletal Physiotherapist who is passionate about patients undertaking physiotherapy rehabilitation to solve their pain and injury problems, prior to opting for imaging, injections or surgery. Kieran has a special interest in ACL (Anterior Cruciate Ligament) tear non-surgical management, and runs national workshops and lectures on this topic. Kieran utilises a research-based, comprehensive approach to each client as an individual, tailoring a specific management plan to achieve significant long-term outcomes.

If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!

Our host is @sarah.yule from Physio Network