Forward Physio How Adam Meakins Actually Helps Patients - Clinical Reasoning in 3 Case Studies
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Jan 5, 2026 
In this discussion with Adam Meakins, a skilled physiotherapist and educator, he addresses his approach to clinical reasoning through three intriguing case studies. Adam tackles controversial online critiques and shares practical insights into managing low back pain and diabetes-related frozen shoulder. He emphasizes the importance of graded exposure, realistic recovery timelines, and the role of corticosteroid injections. Additionally, he highlights how to gently shift patient beliefs and the significance of addressing underlying metabolic issues.
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Podcast Debut With Feet In Soil
- Noah knocked over his camera and recorded the first podcast with his feet in soil.
- Adam joked it was an analogy for staying grounded.
There’s Always Something To Offer
- Adam says he always finds 'something to do' even when others say nothing can help.
- He emphasizes offering hope, direction, and small useful interventions when full cures aren't possible.
Graded Exposure Beats Rigid Bracing
- Exclude serious pathology first, then use graded exposure to rebuild tolerance gently.
- Use experiential tests (relaxed sitting, gentle flexion) to violate fear-based beliefs and show movement is safe.