The Shoulder Physio Podcast

Tendinopathy: Is it a simple case of tendon overload that can be fixed with eccentric exercise or friction massage? What's the deal with inflammation? Is there a role for adjunct therapies such as biologics and medications? Can physios, surgeons and sports physicians ever get along when it comes to managing tendinopathy? My guest, Professor Neal Millar is here to let you know.  Key papers: Millar et al 2021: Tendinopathy Cook and Purdam Continuum Model of Tendinopathy Rees et al 2014: Tendons--time to revisit inflammation Millar et al: Interleukin 17A– a Translational Target to Treat Supraspinatus Tendinopathy Connect with Jared and Neal: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Neal on Twitter: @tendonglasgow Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

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 

In this episode I speak with eminent sport scientist and coach, John Kiely. John is infamous for challenging dogmatic training principles in sport science, chiefly periodisation theory. Our conversation starts with periodisation theory and then goes to some interesting locations, stopping momentarily at homeostasis, allostasis, general adaptation syndrome (GAS), predictive processing, the biomedical model, sets and reps and much, much more. If you prescribe exercise in any way, shape or form, please listen to this episode with the venerable John Kiely. Key papers: Periodisation theory: Confronting an inconvenient truth Periodisation paradigms in the 21st century: evidence-led or tradition-driven? Uncertainty and stress: Why it causes diseases and how it is mastered by the brain Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 John on twitter: @simplysportssci Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer