In this episode with Dr Anthony Teoli, we explore a recent paper looking at therapeutic exercise for knee and hip OA. We discuss:Treatment effects of specific interventionsSimplistic views in patient improvementPotential mechanisms for patient improvementRole of anti-inflammatoriesExercise as treatment for knee and hip OA👉🏻 See Anthony’s full Research Review here - https://physio.network/reviews-teoliDr Anthony Teoli has a Master's in Physiotherapy and a PhD in Rehabilitation Science from McGill University. He works as a physiotherapist specialising in knee osteoarthritis research and clinical outcomes post-knee replacement. He is also the founder of InfoPhysiotherapy, an online platform offering evidence-based courses for rehabilitation professionals.Reference to article: Runhaar J, Holden M, Hattle M, Quicke J, Healey E, van der Windt D, Dziedzic K, Middelkoop M, Bierma-Zeinstra S, Foster N, The STEER OA Patient Advisory Group; The STEER OA Patient Advisory Group (2023) Mechanisms of action of therapeutic exercise for knee and hip OA remain a black box phenomenon: an individual patient data mediation study with the OA Trial Bank. RMD Open, 9(3). 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 @James_Armstrong_Physio

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 exercise during pregnancy and postpartum. We explore: Pelvic floor screening and assessmentsReturn to sport after pregnancyPelvic floor rehabilitationCreating training programs for pelvic floor dysfunctionCompression garments in pelvic healthSilvia Giagio is a PhD physiotherapist and researcher at the University of Bologna. Her research primarily focuses on pelvic floor health within the field of sports medicine. She has applied her personal and clinical experiences in sports, along with her passion for pelvic floor rehabilitation, to this research area. Currently, she collaborates with World Athletics as research consultant, promoting worldwide initiatives for élite athletes' pelvic health.Gráinne Donnelly is an Advanced Physiotherapist in pelvic health, doctoral research student at Cardiff Metropolitan University and the current Editor-in-Chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. Her research focuses include i) postpartum return to sport and pelvic floor dysfunction and ii) diastasis rectus abdominis.Link to the screening tool discussed in this episode (open access) - https://bjsm.bmj.com/content/57/14/899 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 @James_Armstrong_Physio

In this episode, we chat with Dr Heather Linden who discusses her role as the senior director of medicine in the UFC and the unique nature of working with athletes within this sport. We explore: The unique role of working with a UFC athleteSpecific injuries seen in this athlete populationThe mindset of these athletes and how to utilise this in an athlete’s rehabilitationThe pathway of working with the UFCDr. Heather Linden serves as the Senior Director of Physical Therapy at the UFC Performance Institute (UFCPI). She oversees the sports medicine departments at both UFCPI locations in Las Vegas, NV, and Shanghai, China. In 2022, Heather received the prestigious “Trainer of the Year” honor at the World MMA Awards. Prior to her role with the UFC, she was part of the Sports Medicine Division at the United States Olympic & Paralympic Committee and also led an outpatient orthopedic clinic in Los Angeles.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 @James_Armstrong_Physio

In this episode, we break down motivational interviewing into bite sized useful skills that you can implement with your patients in the clinic. We discuss: Microskills of motivational interviewingThe different stages of changeHow to facilitate a conversation with your patientUnhelpful beliefs and the impact this can have on a patient’s painDr Tim Anstiss is a medical doctor, educator, coach and coach trainer. After working various NHS jobs including in cardiology, orthopaedics, psychiatry and occupational health, Tim developed and led an MSc in Exercise and Behavioural Medicine at Thames Valley University. Tim has trained thousands of health professionals in motivational interviewing and health coaching, has been involved in several national and international behaviour change initiatives and has written several book chapters on different coaching approaches. See the active conversations course here - https://movingmedicine.ac.uk/activeconversations/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 @James_Armstrong_Physio

In this episode with John Osborne we explore all things plantar heel pain. We discuss: Is a foot and ankle strengthening regime helpful for this patient population?Current research in this realmThe short foot exercise: is it still relevant to use? Calf raises: are they helpful for this patient population? Discrepancies in morphology and capacity between people with plantar heel pain and those withoutJohn is currently completing his PhD about the association of muscle strength and plantar heel pain. He has had a systematic review published in Journal of Orthopaedic Sports Physiotherapy in 2019 titled Muscle Function and Muscle Size Differences in People With and Without Plantar Heel Pain: A Systematic Review. The focus of John’s PhD includes exercise prescription for plantar heel pain, which muscles function during exercises for the foot and ankle and the association of foot muscle strength and size to plantar heel pain.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

Rich Willy and Brad Beer, both experts in running injuries, delve into the complexities of managing conditions like proximal hamstring tendinopathy and bone stress injuries. They emphasize the importance of personalized recovery approaches and educating athletes. Footwear’s role in injury prevention is explored, revealing that design and history matter more than expected. Additionally, they discuss recognizing energy deficiencies in athletes and balancing exercise with bone health. Insights into technology’s impact on injury management provide a holistic understanding of modern running care.

In this episode we explore a recent paper which showed that female athletes' with greater psychological readiness had a higher risk of second ACL injury after primary ACL reconstruction, in which Ryan was the lead author. We discuss: How and when to use questionnaires in ACL rehabThe interesting finding from this paper of higher ACL re-injury rates in those who scored higher in the ACL-RSI questionnairesReturn to sport readiness and which athletes we might want to hold back for longer to prevent second ACL injuryThe importance of communication and discussions in ACL rehabDr. Zarzycki received his PT degree from the University of Delaware in 2003 and his PhD in Biomechanics and Movement Science from the University of Delaware in 2018.  Between degrees, Dr. Zarzycki practiced for 10 years in sports and orthopedic physical therapy. His research interests lie in athletes after traumatic knee injury with an emphasis on ACL injuries.  Reference to the paper that Ryan discusses here - Zarzycki R, Cummer K, Arhos E, Failla M, Capin JJ, Smith AH, Snyder-Mackler L (2024) Female Athletes With Better Psychological Readiness Are at Higher Risk for Second ACL Injury After Primary ACL Reconstruction. Sports Health, 16(1): 149-154.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 @James_Armstrong_Physio

Robin Kerr, an experienced Australian physiotherapist specializing in pelvic floor dysfunction and biomechanics, joins the discussion on enhancing shoulder pain management. They delve into a study showing how adding manual therapy to exercise can significantly improve long-term outcomes for subacromial shoulder pain. Kerr emphasizes the importance of personalized treatment, subgroup analysis, and the therapist-patient relationship. They also tackle the challenges of conflicting research and advocate for tailored approaches that consider individual patient needs.

In this enlightening discussion, Jean-Francois Esculier, a Canadian physiotherapist and clinical researcher, delves into modern approaches to acute injury treatment. He introduces the acronym "PEACE and LOVE" and explains its significance in managing musculoskeletal injuries. The conversation challenges traditional icing methods, highlighting limited scientific support for ice's effectiveness versus newer strategies focusing on optimal loading and education. Esculier also emphasizes the importance of patient comfort in deciding between ice and heat for recovery.

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.