Summary In this episode, Melvin Pitz and Cornel Tol from the Headache, Pain, and Concussion Training Institute (HPCTI) delve into the intricacies of managing concussions and post-concussion symptoms. They advocate for using the term "prolonged post-concussion symptoms" over "mild traumatic brain injury" to reduce the nocebo effect associated with the latter. The discussion highlights the importance of a multidisciplinary and biopsychosocial approach in diagnosis and treatment, emphasizing the significance of early intervention and patient education. Melvin and Cornel share insights into diagnostic criteria, the impact of framing on patient outcomes, and the gaps in current practices, particularly in the Netherlands. They stress the need for physiotherapists to be proactive in education and networking to bridge the knowledge gap in concussion management. The episode also touches on the neurophysiological aspects of concussion, the shortcomings of monodisciplinary approaches, and the potential of a treatable traits approach for better patient outcomes. Listeners are encouraged to rethink the role of physiotherapy and consider the broader implications of prolonged symptoms, including psychological and social factors. The episode provides practical advice for physiotherapists and healthcare professionals on how to improve their practice and patient care in the context of concussions. Guests Today’s guests are Melvin Pitz and Cornel Tol from the HPC-TI — short for Headache, Pain & Concussion Training Institute. They’re on a mission to educate and empower healthcare professionals with cutting-edge, evidence-based strategies to manage headache, pain complaints, and mild traumatic brain injury. With a strong clinical background and a critical view on how care is currently delivered, they’re pushing for a multidisciplinary and biopsychosocial approach that actually works — in the clinic, and beyond Content 00:00 Intro 00:41 Definition of PPCS 03:06 Diagnostic Criteria 06:35 Gaps in recognizing PPCS 09:47 Why patients are misdiagnosed 14:24 Sponsor 15:00 Prognostic Factors to develop prolonged symptoms 18:48 Rethinking Physiotherapists' role in treating PPCS 24:40 Neurophysiology of PPCS 28:28 Why monodisciplinary approaches fail 33:12 Diagnosis & Decisionmaking 35:48 Sponsor 37:04 Biggest pitfalls 38:44 Treatment 50:48 Interesting Case Studies 57:38 Return to work/play 01:03:21 Opinion on high-impact sports 01:05:25 Myths to bust 01:06:26 Closing thoughts 01:07:37 Contact info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
Summary In this episode, we welcome Dr. Sue Mayes, a distinguished physiotherapist and senior lecturer at La Trobe University, who is renowned for her expertise in injury prevention and rehabilitation, particularly in elite dancers and athletes. Dr. Mayes discusses the significance of foot intrinsic muscles, focusing on their role in ballet and sports injuries. She explains common issues like hallux valgus and foot arch control, emphasizing the importance of intrinsic muscle strengthening to enhance performance and reduce injury risk. Dr. Mayes shares insights into effective foot strengthening techniques, such as banded exercises and stair running, while highlighting the limitations of traditional exercises like toe doming. She also explores the impact of footwear, advocating for a gradual adaptation to minimalist shoes. The conversation covers the role of intrinsic muscles in chronic conditions like ankle instability and shin splints, and the need for a comprehensive approach that includes calf and hip strengthening. Listeners gain practical tips on creating foot strengthening programs, selecting appropriate exercises, and understanding the nuances of rehabilitation across different sports. Dr. Mayes underscores the importance of balancing foot strength and emphasizes the need for proper footwear to prevent stress fractures. The episode concludes with a call to acknowledge the lateral foot muscles and their role in distributing load effectively. Content 00:00 Intro 01:01 What are Foot Intrinsics? 01:40 Most common foot/ankle injuries in Ballet 02:20 Hallux Valgus 04:30 Taping for Hallux Valgus 06:12 Quantifying intrinsic muscle strength 08:03 Foot Arch 09:45 Sponsor 10:35 The dome exercise 12:30 Common misconceptions 13:43 Footwear 17:40 Intrinsic Foot muscle weakness as risk factor 19:50 Performance Impact 22:25 Building a foot strengthening program 27:32 Sponsor 28:44 Strength program progression 30:50 Balance program 32:43 Focus on Abductor Hallucis 34:42 What else to focus on? 36:15 Plyometrics 38:25 Footballer are like Ballerinas 41:12 What clinicians should know about feet 42:26 Sue's closing thoughts 44:10 Contact info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
Description In this episode, Dr. Jack Hickey, a leading researcher in hamstring injuries, shares valuable insights into the complexities of hamstring rehabilitation and injury prevention. He discusses the common misconceptions surrounding hamstring rehab, emphasizing the importance of understanding the adaptations targeted by specific exercises rather than simply mimicking injury mechanisms. Dr. Hickey also delves into the significance of hamstring muscle architecture, particularly the role of fascicle length as a modifiable risk factor for injury. He highlights recent research comparing the effectiveness of exercises like Nordic hamstring exercises and Romanian deadlifts in enhancing fascicle length. Dr. Hickey further explores his pioneering work in pain threshold rehabilitation, explaining how allowing low to moderate levels of pain during rehab can lead to better strength and muscle adaptation without delaying return-to-play timelines. He also touches on the fragility index as a measure of the robustness of risk factors associated with hamstring injuries. Throughout the conversation, Dr. Hickey underscores the importance of individualized rehab programs, incorporating both on-field and gym-based conditioning, and the need to prioritize fundamental principles such as load management and athlete well-being. He also provides a glimpse into ongoing and future research endeavors aimed at advancing our understanding of hamstring injury mechanics and prevention strategies. This episode is packed with practical advice and evidence-based approaches for clinicians, making it a must-listen for those involved in sports medicine and rehabilitation. Guest Jack Hickey is a leading researcher in the field of hamstring injuries. Jack is currently based at Maynooth University in Ireland, where he joined in 2023 as the first academic in the Department of Sport Science and Nutrition.Before that, he was a Senior Lecturer at the Australian Catholic University in Melbourne and part of the SPRINT Research Centre, focusing on sports performance, injury, and rehab. His PhD centered on hamstring strain injuries and pain-threshold rehab – a body of work that earned him multiple national awards, including the ESSA Medal for best PhD thesis in Exercise and Sport Science.Beyond academia, Jack is an accredited Exercise Physiologist with over a decade of experience treating athletes from all levels—especially those dealing with hamstring injuries and ACL reconstructions. Content 00:00 Intro 01:31 Why the interest in the hamstrings? 03:41 Transitioning from Australia to Ireland 06:05 Common Misconceptions in Hamstring Rehab 13:09 sponsor 13:46 How to measure fascicle length 16:07 Pain threshold rehabilitation explained 21:55 But there's more than pain levels 27:51 How to modify fascicle length 30:01 Nordic Hamstring Curls vs. RDLs 35:05 sponsor 36:08 Which exercises favor different parts of the hamstrings 40:54 Ideal eccentric loading parameters 43:40 What is the Fragility Index? 49:49 Describing Return to Play Criteria 52:47 Hamstring Rehab in the ideal world 5 6:15 Current Hamstring Research Highlights 59:32 Jack's closing thoughts 01:00:26 Contact Info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
Summary In this episode, we explore the innovative world of Runeasi, a company co-founded by Dr. Kurt Schütte, which is revolutionizing the assessment of running and jumping in both clinical and athletic settings. Dr. Schütte shares how Runeasi bridges the gap between lab-based biomechanics research and real-world application, offering affordable, evidence-based analysis tools. The episode delves into the workings of Runeasi's AI-driven 3D gait analysis and its jump module, highlighting their key metrics and practical applications in reducing injury risk and enhancing performance. Additionally, the podcast covers the benefits of using Runeasi for clinicians and coaches, its validation process, and its future developments, including remote rehabilitation and mobile app advancements. The discussion emphasizes Runeasi's mission to make data-driven insights accessible and actionable for everyday physiotherapists, coaches, and athletes. Guest Dr. Kurt Schütte, PhD in biomechanics, CEO, and co-founder of Runeasi — a company that’s shaking up how we assess running and jumping in both clinical and athletic settings. After completing his PhD, Kurt saw a gap between the lab and the field — and a clear need for affordable, evidence-based biomechanics analysis that could be used in the real world. That realization became Runeasi. His mission? To empower clinicians and coaches to use data-driven insights to reduce injury risk and enhance performance — and to make this the standard within the next three years. Resources Andreas Halfmarathon Case Study with Runeasi Runeasi Website Content 00:00:00 Introduction of Dr. Kurt Schütte and Runeasi 00:01:06 Discussion on the origin of Runeasi 00:02:09 Motivation from research to entrepreneurship 00:04:11 Vision for data-driven insights in clinical practice 00:08:25 Core of Runeasi’s AI-driven 3D gait analysis 00:09:50 Difference from traditional lab-based systems 00:12:27 Ensuring closeness to the gold standard 00:14:58 Main metrics from gait testing 00:22:02 Who uses Runeasi and for which scenarios 00:27:18 Typical test session walkthrough 00:32:24 Running on a treadmill vs. outdoors 00:38:11 Jump testing module 00:41:11 Main metrics in the jump module 00:44:26 Ensuring accuracy compared to force plates 00:48:34 Special cases in return to sport testing 00:52:59 Future developments for Runeasi 00:57:26 Message to physios hesitant about biomechanics tech 01:01:51 Final thoughts and how to get Runeasi Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In Episode 77 of the PhysioTutors podcast, we welcome Hedwig Neels, a renowned physiotherapist from Belgium who specializes in pelvic health. Hedwig is a professor at the University of Antwerp and founder of the Pelvic Floor platform, which aims to break taboos and make pelvic health accessible and understandable for women. During the episode, Hedwig discusses her journey in creating the Pelvic Floor platform and the common misconceptions around pelvic health, such as the overemphasis on Kegel exercises. She emphasizes the importance of education, awareness, and a holistic approach to pelvic health. The conversation also covers pelvic health during pregnancy and postpartum, highlighting the need for pelvic floor training and the challenges in returning to high-impact sports. Hedwig shares insights into male pelvic health, particularly saddle pain in cyclists, and the significance of relaxation over strengthening in certain cases. The episode concludes with a discussion on the future of pelvic floor rehabilitation and the importance of open communication and education in the field. Hedwig provides valuable resources and advice for physiotherapists and individuals looking to understand and improve pelvic health. Guest Hedwig is a physiotherapist specializing in pelvic health, with a particular focus on education and awareness. She is a professor at the University of Antwerp, where she combines academic research with clinical practice at the University Hospital of Antwerp. Hedwig is also the founder of The Pelvic Floor, an information platform and community designed to break taboos and make pelvic health accessible and understandable for all women. She teaches both medical and paramedical professionals through the Women's & Pelvic Health Professionals network and is the author of Het Bekkenbodemboek — a beautifully illustrated, accessible guide to pelvic floor health for women. Her clinical expertise also extends to athletes, including both women and men, with a special focus on cycling-related saddle pain and its impact on performance. Content 00:00 Intro 01:12 Why she started her Pelvic Health Platform 03:19 Misconceptions about the Pelvic Floor 06:42 Sponsor 07:19 Lowering the barrier to start talking about pelvic health 12:00 Pelvic Health during and after pregnancy 15:40 Return to sport post-partum 20:00 Quantifying pelvic floor function in practice 23:37 Pelvic Floor Problems among top reasons women stop playing sports 26:52 Male pelvic pain 31:43 More about letting go than holding in 34:12 Pelvic health skills for non-pelvic health practitioners 37:01 Sponsor 38:02 Go beyond Kegels 42:54 Don't forget the pelvic girdle 46:34 The biggest innovation in pelvic rehab 49:32 What every physio should know about pelvic health 51:02 Hedwig's closing thoughts 53:18 Contact info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In episode 76 of the podcast, we engage with Dan Elias, a seasoned physiotherapist with over 15 years of experience, specializing in youth athletes. Dan works with the England athletics team and runs the Youth Physiotherapy Clinic in Bath, focusing on athletes aged 8-18. During the episode, Dan discusses his journey into youth physiotherapy, emphasizing the unique approach required for treating young athletes compared to adults. He highlights common misconceptions about physiotherapy for children and the importance of adapting communication and treatment strategies to suit their developmental needs. Dan elaborates on the challenges of managing injuries during growth spurts and the significance of bone health and appropriate strength training for young athletes. He also addresses the phenomenon of overtraining, offering insights into recognizing early signs and mitigating risks through proper rest, nutrition, and diversified physical activities. The conversation underscores the role of fun and engagement in rehabilitation and the necessity of establishing healthy long-term habits for injury prevention. Dan stresses the importance of understanding each child's unique circumstances and fostering a supportive environment that encourages confidence and communication. The episode is a comprehensive discussion on the nuances of youth physiotherapy, offering valuable insights for parents, coaches, and practitioners involved in youth sports. Content 00:00 Intro 01:14 Dan's Journey into Youth Athletics 04:34 What are the biggest misconceptions on Youth Athlete Physiotherapy 08:03 Tips on communicating with children & adolescents 10:08 How Growth Spurts affect Injury Risk 16:19 Sponsor 17:20 What does a typical Assessment look like 22:20 What are common injuries in this population? 25:05 Are avulsion fractures prevalent? 26:13 How to recognize early signs of overtraining 30:30 How to deal with overtraining symptoms 33:01 Specific sports that have the most injuries 35:35 Resistance Training in adolescents 38:02 How to design "fun" rehab plans 41:15 Sponsor 42:03 How to help adolescents create healthy habits 45:26 Physical and mental advice for young patients 50:25 Parents' biggest mistakes in youth development 52:54 Early sports specilization 54:05 Dan's closing thoughts 55:47 Contact Info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this episode of the podcast, we are joined by Shrey Vazir, an advanced physiotherapist and founder of Mind Body Horizons. Shrey shares his personal journey of managing fibromyalgia and discovering the intersection of mindfulness and physiotherapy. He emphasizes the importance of integrating mindfulness practices into healthcare, particularly for managing chronic pain, stress, and burnout. Shrey discusses the science behind mindfulness, its benefits for patients and healthcare professionals, and offers practical steps for incorporating mindfulness into physiotherapy practice. He also addresses common misconceptions and barriers to adopting mindfulness and shares success stories of patients and professionals who have benefited from these practices. Listeners will get book recommendations for those interested in learning more about mindfulness and information on how to connect with Shrey. Content 00:00 Intro 01:33 Shrey's Background 05:16 Founding Mind Body Horizon 07:40 Defining Mindfulness in Healthcare 14:05 Effects of Chronic Stress 20:24 How to integrate Mindfulness in Practice 28:10 Mindfulness Tips to prevent Clinic Burnout 32:15 Barriers to implementing Mindfulness 35:55 Athletes swear on Mindfulness 38:00 Dealing with Skepticism 43:15 Success Stories 50:56 Mindfulness Movement 52:50 Shrey's closing thoughts 54:25 Book Recommendations 56:32 Contact Info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy. The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests including Spurling's test and neural tension tests to improve diagnostic accuracy. Dr. Thoomes also challenges the reliability of traditional dermatomes and myotomes, advocating for individualized assessment and treatment strategies. The conversation covers various treatment options, highlighting the ineffectiveness of cervical traction and suggesting neurodynamic mobilization, spinal manipulative therapy, and targeted exercises. Dr. Thoomes advises adapting management strategies from acute to chronic stages and stresses the role of patient education and self-management. The episode also touches on the limited role of imaging unless necessary and discusses the importance of differentiating cervical radiculopathy from other conditions. Dr. Thoomes calls for more research in areas like epidemiological data and neurodynamic mobilization and shares clinical gems for effective management. The episode concludes with an emphasis on individualized patient care and encourages questions and further discussion from listeners. Content 00:00 Intro 00:52What is Cervical Radiculopathy? 04:05 Cervical vs Lumbar Disc Herniation 05:29 Clearer Terminology needed 07:15 Prevalence and Risk Factors 08:26 Most useful Tests 10:33 Crucial History Findings 11:56 Dermatomal/myotomal examination 13:13 Treatment Options 18:27 Manipulations? Mobilizations? 21:29 Motor Control Training 24:55 Directional Preference in the Cervical Spine? 26:03 Higher Level Exercises 27:01 Self-Management 28:52 Diagnostic Mistakes to Avoid 31:30 Red Flags and Imaging 33:15 Lessons to learn from LRS 34:25 Future Research Directions 37:45 Top Tips 39:27 Outro & Contact Info Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
Description In episode 73 of the Physiotutors podcast, we talk to Philipp Andersson, a seasoned physical therapist and strength and conditioning coach who heads the medical department for IFK Värnamo in Sweden's top football league. Philipp shares insights into his unconventional journey into sports physiotherapy, starting with a passion for working in professional sports, leading to volunteering opportunities that paved his way into elite sports teams. Despite lacking initial connections, his determination and strategic volunteer work helped him secure his current role. Philipp discusses the unique challenges of working with both women's and men's football teams and the differences between training high-profile clients and professional athletes. He emphasizes the importance of sport-specific training and the need to connect gym work with on-field performance. The conversation also touches upon common injuries in soccer, particularly the prevalence of ACL injuries in women and muscle injuries in men, and the balance between performance and recovery. Philipp talks about the realities of working in professional sports, debunking myths about glamour and high salaries, and highlights the rewarding aspects, such as forming strong connections with players. He also shares his leadership philosophy, stressing the importance of listening and open dialogue within a multidisciplinary team. The episode concludes with insights into Philipp's daily routine and the demands of balancing personal life with a career in professional sports. Guest Philip Andersson is a Physical Therapist and Strength & Conditioning Coach leading the medical department for IFK Värnamo in Sweden’s top football league. With experience in elite women’s football and training high-profile clients, Philip brings a wealth of knowledge on athlete care and performance. Content 00:00 Intro 00:35 Philip's Journey into Professional Sports 03:13 Challenges of working with Athletes vs. Celebrities 05:05 How he landed his clients 06:00 Most common injuries he sees 07:45 Different injuries in men's vs. women's sports 08:22 Decision-making for RTP in professional sports 09:46 What's physio really like in professional sports 12:07 Common misconceptions 14:35 Most rewarding moments 18:13 Differences working with high profile clients 19:17 Leadership lessons 20:45 Philip's Advice to land a job in professional sports 23:30 Use of non EBP in professional sports 28:08 Philip's work philosophy 29:20 A typical day/week 32:20 Career Plans 34:30 Bonus Story 37:50 Bonus Story 2 39:29 Contact Info & Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In Episode 72 of the Physiotutors podcast, we interview Dr. Daniel Belavy, a professor with a prolific research background in muscle, bone, and joint health, specifically focusing on low back pain. The discussion explores various aspects of back pain research, including disk herniations in astronauts, the role of mechanical loading in disk health, and the challenges of classifying non-specific low back pain. Dr. Belavy shares insights from his studies on physical exposure and spine postures, contextual effects in treatment, and exercise training for back pain. He emphasizes the importance of understanding how treatments work to optimize clinical care and highlights the ongoing quest to identify subgroups and optimal exercise prescriptions for back pain. The episode underscores the complexity of back pain and the multifactorial elements influencing it, advocating for continued research and collaboration in the field. Content 00:00 Intro 00:57 Disc Herniations in Astronauts 04:08 Discs need (de-)loading 08:04 Is there a U-curve for loading? 10:15 NSLBP Classification Challenges 19:20 SI Joint Pain Classification Challenges 24:30 Physical Exposures and Low Back Pain 29:04 Physical Function/Activity and Low Back Pain 31:40 Contextual Effects in Low Back Pain 40:09 How to harness contextual effects in treatment 41:21 Which type of exercise is best for LBP 47:01 Exercise variables and pain reduction 50:29 Daniel's closing thoughts 53:00 Contact info 55:52 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this episode of the PhysioTutors podcast, Dr. Annina Schmid, a specialist in musculoskeletal physiotherapy and a professor of pain neurosciences at Oxford University, discusses entrapment neuropathies, focusing on conditions like carpal tunnel syndrome and cubital tunnel syndrome. She explains that these conditions occur when nerves are compressed or irritated as they pass through narrow anatomical spaces, leading to symptoms such as pain, tingling, numbness, and sometimes motor changes like weakness. The conversation covers common types of entrapment neuropathies, diagnostic challenges, and distinctions between peripheral and nerve root entrapment. Dr. Schmid emphasizes the importance of pattern recognition, detailed patient assessment, and understanding the anatomical and neurological aspects of each case. Dr. Schmid also delves into the importance of deep clinical phenotyping and precision physiotherapy, highlighting the need for detailed understanding of patient presentations and individualized treatment approaches. She discusses the potential benefits and mechanisms of neurodynamic treatments and other interventions, stressing that education and managing patient expectations are crucial. The discussion touches on the role of advanced imaging techniques like ultra-high field MRI in diagnosing and treating entrapment neuropathies, and the significance of surgical intervention in severe cases. The episode concludes with Dr. Schmid's takeaways for clinicians, emphasizing the need for careful diagnosis, patient education, and innovative research approaches. Content 00:00 Intro 00:48 What are entrapment neuropathies? 01:48 Typical presentations 02:45 Does Piriformis syndrome exist? 05:10 Causes and Riskfactors of PNE 07:23 Differential diagnosis 13:00 How reliable is dermatome examination 15:25 What is Deep Clinical Phenotyping? 20:20 What is Precision Physiotherapy? 24:37 Effects of Neurodynamics 26:49 Effectiveness of other Interventions 31:35 Interface treatment 34:40 When to refer for surgery 36:48 Nerve repair 41:25 Ultra High Field MRI Explained 44:48 Three Take Aways 47:03 Annina's Closing Thoughts 48:13 Contact Info 49:39 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this episode of the Physiotutors podcast, Kai interviews Serena Simmons, a seasoned psychologist with over 30 years of experience, about behavioral change and patient buy-in in healthcare. Serena highlights the challenges that healthcare providers face due to the lack of psychological training in their initial education, which often leaves them unequipped to effectively promote behavioral change in patients. She emphasizes the importance of understanding both the practitioner's and the patient's psychology to foster meaningful interactions and facilitate change. Serena discusses the significance of the patient-provider relationship, suggesting that building trust and rapport is crucial, and that understanding and addressing the patient's intrinsic motivations can lead to better adherence to treatment plans. Additionally, Serena offers practical advice for healthcare providers, such as spending more time understanding the patient's emotional reasons for seeking treatment and creating small, achievable milestones to reinforce progress. She also stresses the importance of self-awareness and communication skills for practitioners, recommending further education in human psychology and decision-making processes. Serena's insights underscore the need for a holistic approach that combines psychological understanding with clinical expertise to improve patient outcomes. The episode is rich with strategies for enhancing patient engagement, compliance, and overall effectiveness in physiotherapy and other healthcare practices. Content 00:00 Intro 02:00 Barriers to behavior change 05:19 How to identify psychological factors impeding recovery 08:15 How to create rapport 14:27 Everything starts with you 18:30 How to strengthen your bond with a patient 24:24 How to uncover a patient's "why" 33:40 The benefit of hands-on treatment 35:13 Motivational Interviewing 39:10 My patient doesn't do exercises 46:06 How to secure buy-in 51:09 Recommended reading 53:30 Serena's closing thoughts 54:10 Contact info 54:35 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this episode of the Physiotutors podcast, Kai interviews Niek Vink, a physiotherapist and manager at the National Training Center for Ultrasound (NT-E) in Utrecht, Netherlands. They discuss the role and benefits of ultrasound in physiotherapy. Niek explains the basics of ultrasound imaging, comparing it to other imaging techniques like MRI and X-ray. He emphasizes that while ultrasound offers high spatial resolution and is useful for assessing soft tissues, it cannot see inside bones. The conversation also highlights the importance of dynamic scanning and sono-palpation in physiotherapy, as well as the advantages and disadvantages of ultrasound. The discussion covers the adoption and application of ultrasound in physiotherapy practices, noting varying levels of usage in different countries. Niek shares success stories and potential pitfalls, stressing the importance of proper training, practice, and patient communication to avoid nocebo effects. He also touches on new developments in ultrasound technology, such as AI and elastography, and offers advice for physiotherapists considering adopting ultrasound in their practice. Guest Niek is a Physiotherapist from Utrecht, Netherlands and the manager and teacher at NT-e, an educational company focused on teaching ultrasound imaging to doctors, and physiotherapists. He’s been a public speaker on countless international events and today we will talk to him about the role of ultrasound in physiotherapy. Content Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, such as dislocations in contact sports like rugby and rotator cuff issues in overhead sports like swimming and tennis. She emphasizes the importance of considering the kinetic chain in rehabilitation, focusing on both local shoulder control and the role of other body parts to optimize recovery and performance. Edel also highlights the significance of proper scapular function and offers insights into the nuances of treating shoulder injuries, including specific exercises and positions to support recovery. Edel also delves into the challenges of returning athletes to sport post-injury, discussing the importance of objective testing, psychological readiness, and sport-specific considerations. She outlines the differences in rehabilitation approaches for contact vs. non-contact sports, noting the unique demands and injury mechanisms of each. The conversation touches on screening tests, injury prevention strategies, and the development of an online course on athletic shoulder rehabilitation. Edel's expertise and practical advice provide valuable insights for physiotherapists and sports professionals aiming to enhance shoulder health and performance in athletes. Content 00:00 Intro 00:45 Which pathologies to consider 08:34 The scapula and stability & performance 15:36 Which muscles to consider in rehab 19:08 The importance of strength in the kinetic chain 21:43 How to reduce injury risk 25:03 Shoulder warm-up routines 27:29 Screening tests useful? 33:11 Exercise dilemmas 38:47 AC Joint Injuries 45:50 What is assessed? 51:35 RTP & RTS markers are different 01:00:09 Edel's closing thoughts 01:01:00 Contact Details 01:02:50 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
Summary In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injuries, and touch on chronic ankle instability, a condition that remains somewhat ambiguous and under-researched. Jente emphasizes that while ankle sprains are common, particularly in sports, the transition to chronic instability isn't always straightforward and requires more prospective data for a clearer understanding. We also explore the prevalence of ankle sprains across various sports and demographic groups, noting higher incidences in females and younger populations. Jente shares his approach to managing ankle sprains, from the acute phase to return to sport, advocating for exercise-based rehabilitation and the importance of patient education. He highlights the Peace and Love principles for immediate post-injury care and emphasizes the role of neurocognitive tasks in rehabilitation. We also discuss the use of orthopedic tests, ultrasound, and the significance of understanding which ligaments are involved in the injury for effective treatment. Jente stresses the importance of not underestimating ankle sprains, ensuring proper rehabilitation to prevent recurrence, and the potential role of surgery in persistent cases. Guest Jente Wagemans is a physiotherapist and researcher at the University of Antwerp who is currently doing is PhD in collaboration with Ulster Universtity and Bern University of applied sciences. As part of his PhD he has published several papers about ankle sprains and chronic instability. Timestamps 00:00 Intro 00:49 What is a lateral ankle sprain? 02:04 How is it different from other sprains? 03:12 At what point do we talk about chronic instability? 08:00 Prevalence 09:36 The typical patient 11:22 Risk factors 14:00 Ankle mobility & strength metrics 15:07 Chronic Instability risk factors 18:45 Red Flag Awareness 23:46 PEACE & LOVE 26:45 Orthopedic Testing 31:20 When is MRI valuable? 32:54 Functional Assessment 36:37 Management Approach 45:18 Taping & Braces 47:13 Recurrence & Prevention 49:00 When surgery is indicated 52:10 Return to Sport timeline 56:20 Jente's closing thoughts 57:53 Contact Info 59:40 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this podcast, Dr. Claire Minshull shares her insights on teaching strength and conditioning to physiotherapists, emphasizing the practical application of academic knowledge. She discusses common mistakes in S&C practices, the importance of muscular strength in rehabilitation, and the significance of individualized exercise prescription for optimal outcomes. Claire also explores topics like measuring strength, rate of force development, and emerging technologies in strength training, underlining the need for patient-centered approaches and effective rehabilitation strategies. Guest Dr. Claire Minshull is a sport scientist, researcher and visiting professor at Leeds Beckett University in the UK. She has published more than 30 papers mainly on strength and conditioning and runs an educational company called Get Back to Sport Content 00:00 Intro 01:01 Claire's Journey in S&C 04:58 The issue with S&C in Physio 07:38 S&C Mistakes Physios make 13:36 Hypertrophy & Strength is important 18:43 How to gauge Strength 24:03 Compound vs. Isolation Exercises 27:19 How far to push Patients to Fatigue 33:26 Failure to adapt Exercise Prescription in Clinic 36:04 Rate of Force Development explained 42:47 Cross Education Effect explained 50:41 Tips to create Patient Buy-In to Exercise 55:06 Emerging Technology Highlights in S&C 01:01:56 Claire's closing thoughts 01:03:48 Contact Info 01:04:48 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she emphasizes the need for a holistic approach in managing migraines, incorporating physiotherapy interventions alongside pharmacological treatments. Dr. Luedtkee suggests addressing musculoskeletal dysfunctions in the neck, providing education on migraine triggers and symptoms, promoting relaxation techniques, and encouraging aerobic exercise. She also mentions ongoing research areas focused on patient perspectives, the effectiveness of physiotherapy in migraine treatment, and the importance of incorporating patient feedback into future studies to enhance the overall management of migraines. Content 00:00 Introduction 00:37 Definition of Migraine Headaches 01:40 Migraine with Aura 03:30 Pathophysiology 05:30 The role of the Hypothalamus 07:36 Risk Factors for Migraine 13:25 Prevalence 16:44 The typical patient 18:29 Migraine and Chronic Pain 21:30 Red Flags 23:13 Other Diagnostic Measures 29:00 MSK Dysfunctions in Headache 31:18 The role of Vestibular Assessment 33:25 Subtype Vestibular Migraine 34:34 Physical Therapy Effectiveness 40:11 Guideline Management Approach 45:15 Added benefit of moving more? 46:16 Hot topics in Migraine Research 48:30 The Importance of the Patient’s perspective 49:56 Contact Info 51:15 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this podcast episode, Dr. Leanne Bisset, a musculoskeletal physiotherapist and associate professor at Griffith University, shares valuable insights on lateral epicondylalgia, also known as lateral elbow tendinopathy. She discusses the anatomy and function of the affected muscles, highlighting the importance of stability in wrist movements and the role of the extensor carpi radialis brevis. Dr. Bisset emphasizes the shift in terminology from epicondylitis to tendinopathy, debunking misconceptions around inflammation in the condition and providing a comprehensive overview of diagnostic considerations, risk factors, and red flags to look for during assessment. Furthermore, Dr. Bisset delves into the management of lateral elbow tendinopathy, emphasizing the significance of tailored exercise programs focusing on isometric loading initially, progressing to incorporate global upper limb strengthening for comprehensive rehabilitation. She also addresses the limited efficacy of modalities like shockwave therapy and the potential benefits of orthoses in pain management. Dr. Bisset's evidence-based approach underscores the importance of patient education, individualized treatment plans, and monitoring pain responses to optimize outcomes in the management of lateral epicondylalgia. Guest Dr. Leanne Bisset is a musculoskeletal physiotherapist and an associate professor at Griffith University at the gold coast, Australia. She has published over 100 papers on a variety of topics and has done extensive research on lateral epicondylalgia. Chapters 00:00 Intro 00:44 Definition of lateral elbow tendinopathy 05:39 Why Inflammation is inaccurate 11:49 Risk factors 13:46 The typical patient 17:34 Red Flags 27:30 Diagnostic tests 29:49 Leanne's Diagnostic Approach 32:27 Treatment 38:15 Details on Isometric Loading 49:29 Other treatments 54:02 Treatment Progressions 58:45 How much pain to allow 01:01:28 Shockwave and Dry Needling 01:03:56 Elbow Braces 01:05:50 Contact Info 01:06:58 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program. It's a value-packed episode so tune in to master your approach to treating shin splints. This episode is sponsored by Lindy.ai - your A.I. medical scribe. Try Lindy for free by going to lindy.ai/physiotutors and receive 1 week of unlimited patient notes. Content 00:00 Intro 01:06 What is MTSS? 02:19 Risk Factors 03:34 Typical Patient 04:20 Specific Training Errors 05:40 Influence of Footwear 06:58 Forefoot Running 08:40 Red Flag Diagnoses 12:08 MTSS DIagnosis 13:06 Assessing the Patient 15:45 Muscle Testing 17:18 Sponsored Segment 18:55 Other Strength Parameters 21:05 Running Analysis/Technique 26:15 Treatment 29:29 Strengthening Exercises 31:58 What about Tibialis Anterior? 33:12 How to manage a flare-up? 35:25 Return to running 38:02 Different Mx for Different Sports 40:20 Duration of MTSS 41:35 Adjunct Treatments 43:30 Can MTSS become a Fracture? 44:25 Tom's closing remarks 46:25 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
In this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation. The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications. The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques. Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care. Chapters 00:00 Intro 00:46 Defining Dry Needling 01:49 The Physiology 07:26 Difficulty of human studies 08:15 Active vs. Latent Trigger Points 10:05 Reliability Issues of TP Therapy 12:00 Referred pain in Trigger Points 15:40 The local twitch response 17:50 In-situ vs. winding technique 18:36 Research vs. Clinical Practice 20:22 Dry Needling for Tendinopathy? 23:58 Evidence for MSK Complaints 28:01 Contraindications and Risks 30:45 Needles vs. Hands 32:16 Kai's Dry Needling Anecdote 33:06 Are we chasing short-term effects? 35:26 Top 3 Reasons to learn Dry Needling 40:01 Closing thoughts 41:06 Outro Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
Vanessa Naja
absolutely love this podcast and this episode. I really appreciate all of the insights and research on this model. I'll definitely be listening to this one again and again.
Koen Wamelink
great!