The Shoulder Physio Podcast

 AI is a direct threat to all knowledge work, MSK rehab included. We must take action. This episode announces the launch of The Irreplaceable Clinician. Its a course for MSK clinicians about how to flourish in the age of AI. See The Irreplaceable Clinician here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

Jared is joined by Professor Chad Cook who is one of the great researchers and academics in the field of physical therapy. Chad is clear and cogent voice on many topics but I especially love his more recent work on treatment mechanisms, which will form the basis of this episode. Enjoy. Key resources Musculoskeletal Treatment Mechanisms: A Puzzle That May Never Be Fully Solved Cook CE et al. Specific and shared mechanisms mediating pain intensity and functional outcomes in chronic neck pain. Pain Manag. 2026 Jul;16(7):799-808. doi: 10.1080/17581869.2026.2658063.  Cook CE et al. Personalizing rehabilitation approaches: Moderator analyses of manual therapy and exercise effectiveness in individuals with chronic neck pain: Secondary analysis of the SS-MECH trial. Musculoskelet Sci Pract. 2026 Sep 22;86:103665. doi: 10.1016/j.msksp.2026.103665.  Register for the complete shoulder online course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 Chad on LinkedIn: Jeremy Lewis See our Disclaimer here: The Shoulder Physio - Disclaimer

Jared is joined by Professor Jeremy Lewis who really needs no introduction but we will give him one just for fun. Jeremy is a researcher, educator, physiotherapist, and one of the biggest names in musculoskeletal rehabilitation.  In this episode Jeremy discusses his journey in cementing the fact that subacromial impingement syndrome is a "clinical illusion" and a fundamentally flawed concept. This one is not to be missed. Key resources Lewis, J. S. (2011). Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion? Physical Therapy Reviews, 16(5), 388–398. https://doi.org/10.1179/1743288X11Y.0000000027 Register for the complete shoulder online course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 Jeremy on Instagram: @jeremy.s.lewis Jeremy on LinkedIn: Jeremy Lewis See our Disclaimer here: The Shoulder Physio - Disclaimer

The supraspinatus is one of the most misunderstood muscles in the human body. This episode aims to correct that. Key resources Reed D, Cathers I, Halaki M, Ginn K. Does supraspinatus initiate shoulder abduction? J Electromyogr Kinesiol. 2013 Apr;23(2):425-9. doi: 10.1016/j.jelekin.2012.11.008. Epub 2012 Dec 21. PMID: 23265661. Boettcher CE, Ginn KA, Cathers I. Which is the optimal exercise to strengthen supraspinatus? Med Sci Sports Exerc. 2009;41(11):1979–1983. Wattanaprakornkul D, Cathers I, Halaki M, Ginn KA. The rotator cuff muscles have a direction specific recruitment pattern during shoulder flexion and extension exercises. J Sci Med Sport. 2011;14(5):376–382. Kinsella R, Pizzari T. Electromyographic activity of the shoulder muscles during rehabilitation exercises in subjects with and without subacromial pain syndrome: a systematic review. Shoulder Elbow. 2017;9(2):112–126.   Register for the complete shoulder online course Melbourne workshop details Connect with Jared: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

A peanut isn't dangerous until it meets someone who can't tolerate it. Same with the upright row exercise. This episode scrutinises the "worst exercise for your shoulder" claim by tracing it back to a theory that's already dead, then shows what determines outcome: the person lifting. Shock. Horror. Key resources Bahr, R. (2016). Why screening tests to predict injury do not work — and probably never will: a critical review. British Journal of Sports Medicine, 50(13), 776–780. Marsh, C.E., et al. (2020). Fitness and strength responses to distinct exercise modes in twins: Studies of Twin Responses to Understand Exercise as a THerapy (STRUETH) study. The Journal of Physiology, 598(18), 3845–3858. Stern, B.D., Hegedus, E.J., & Lai, Y.C. (2020). Injury prediction as a non-linear system. Physical Therapy in Sport, 41, 43–48. Powell, J. (2024). An essay on the upright row... and peanuts. The Shoulder Physio Blog. (Source essay this episode is adapted from.)   Register for the complete shoulder online course Melbourne workshop details Connect with Jared: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer