The Shoulder Physio Podcast

Strengthening exercise is a popular and effective treatment for shoulder pain. But...is the benefit of strengthening exercise derived from getting stronger or are there other causal mechanisms underpinning the effect? Listen to find out! Key papers: Powell and Lewis 2021: Rotator Cuff–Related Shoulder Pain: Is It Time to Reframe the Advice, “You Need to Strengthen Your Shoulder”? Lewis and Powell 2022: Should We Provide a Clinical Diagnosis for People with Shoulder Pain? Absolutely, Maybe, Never! The Ongoing Clinical Debate Between Leavers and Retainers Hotta et al 2022: Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial Messier et al 2022: Effect of High-Intensity Strength Training on Knee Pain and Knee Joint Compressive Forces Among Adults With Knee Osteoarthritis: The START Randomized Clinical Trial Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

Can we prevent injuries from happening? All of them? If we can't prevent ALL injuries should we move away from using the term prevention? Or is all this boring and irrelevant linguistic games that don't move the needle for clinical practice? I for one am fascinated by this discussion and I reckon you will enjoy it too. Franco, as always, has the ability to cut through fluffy opinions and statements with hardcore and unabashed science and I love it!  Key papers: Prevention versus Risk Reduction or Mitigation Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Franco on Twitter: @francoimpell Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

In this solo episode I discuss the evidence underpinning the use of platelet rich plasma injections for shoulder pain. Platelet rich plasma makes total sense on the surface, but do empirical findings support this? Should we continue down the pathway of research for platelet rich plasma, or move on? Should you recommend it in your practice? What do you say if a patient asks you about it? These are some of the topics we tackle in this short primer on platelet rich plasma for shoulder pain. I hope you enjoy. Key papers: Platelet rich plasma: from basic science to clinical applications by Foster et al 2009 Efficacy of Platelet-Rich Plasma for the Treatment of Interstitial Supraspinatus Tears by Schwitzguebel et al 2019 Efficacy of Platelet-Rich Plasma for the Treatment of Interstitial Supraspinatus Tears: A Double-Blinded, Randomized Controlled Trial Treatment of Subacromial Impingement Syndrome: Platelet-Rich Plasma or Exercise Therapy? A Randomized Controlled Trial Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

John Kiely, eminent sport scientist and coach, challenges dogmatic training principles in sport science. They discuss periodisation theory, homeostasis, allostasis, predictive processing, sets and reps, and more. The podcast highlights the importance of individual context, belief, and non-physical factors in exercise prescription and pain management. They also explore stress management and adaptability in a clinical setting.

An entrenched assumption in sport and exercise medicine/physiotherapy, going back decades, has been that ACL (anterior cruciate ligament) injuries DO NOT heal. Not ever. However, like many dogmatic beliefs in the health and fitness sector, this assumption appears to have been seriously wrong. Dr Stephanie Filbay joins me to discuss her latest paper about the healing capacity of the ACL and what this means for your clinical practice. Dr Filbay also teases some insights from the CROSS bracing trial, which is soon to be published. Be prepared to have some of your most tightly held beliefs seriously challenged in this episode.  Key papers: Dr Filbay et al 2022. Evidence of ACL healing on MRI following ACL rupture treated with rehabilitation alone may be associated with better patient-reported outcomes: a secondary analysis from the KANON trial Dr Filbay Lancet paper Surgery or rehabilitation for anterior cruciate ligament injury: where are we now? The KANON trial by Frobell et al 2010 Stay tuned for the Cross Bracing Method Trail.... Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Steph on twitter: @stephfilbay Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

Osteoarthritis (OA) is a leading cause of pain and disability. OA is also seems to be associated with several myths and misconceptions about how it is caused and how it might be managed. To cut through some of this mythology, I invited Professor David Hunter on the show for a 'no holds barred' conversation. David is the number 1 ranked expert in the world on OA, so it should come as no surprise he is a wealth of knowledge and a clear communicator on the complexities of osteoarthritis. I hope you enjoy.  Key papers:  The START trial for knee OA The IDEA trial David's Lancet paper on OA Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 David on twitter:@ProfDavidHunter Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

Guest Filip Struyf, PhD discusses the question of whether or not to fix scapula dyskinesis in our physical examination. They explore the scapula assistance test, the role of scapula strengthening exercises, scapula positioning, and the importance of movement in treatment.

Feeling stiff is a familiar feeling for all of us. But does feeling stiff mean our joints are actually stiff? Or is there more to it. Tasha Stanton PhD is a clinical neuroscientist who has performed research directly addressing this question. This is a fascinating conversation and I hope you enjoy.  Key resources: Tasha's paper here   Connect with Jared and Tasha: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Tasha on Twitter: @Tash_Stanton Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

The Nordic hamstring exercise has enjoyed mostly good press with respect to injury prevention effectiveness. That is until recently. Professor's Franco Impellizzeri and Kristian Thorborg kindly and clearly join me in conversation to help us understand the evidence for and against this exercise. Key resources: Impellizzeri Meta analysis: HERE Ishoi and Thorborg response: HERE Van Dyk systematic review: HERE Connect with Jared, Franco and Kristian: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Franco on Twitter: @francoimpell  Kristian on Twitter: @KThorborg Cliniko free trial, click here!   See our Disclaimer here: The Shoulder Physio - Disclaimer 

I am joined by Connor Gleadhill to discuss causal inference. Connor is a PhD candidate exploring causal inference and is someone who speaks fluently about complex topics (must be the smooth Irish accent!). Causal inference is basically the pursuit of estimating how and why things happen. How do we determine causation - strictly through the randomised controlled trial or can we use observational evidence too? Can causal inference help us navigate a chaotic world? Key resources: COMPLEXITY: THE EMERGING SCIENCE AT THE EDGE OF ORDER AND CHAOS The Book of Why - Judea Pearl Hernan 2018 paper - The C Word Connect with Jared and Connor: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Connor's Email: connorgleadhill@gmail.com Connor's Website: http://www.connorgleadhill.physio Connor on Twitter: @CGleadhill See our Disclaimer here: The Shoulder Physio - Disclaimer